Nai Saturn Eastern LLC
Pharmacy, Community/Retail Pharmacy in Mc Lean, VA. Organization (NPI-2).
NPI number1972741817
StatusActive
Last updated in NPPESSep 27, 2018
Details
- NPI
- 1972741817
- Entity type
- Organization (NPI-2)
- Legal business name
- Nai Saturn Eastern LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2009
- Last updated
- Sep 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 0201004277 | VA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Safeway Pharmacy #1920 (Doing Business As)
Practice location
1688 Anderson RdMc Lean, VA 22102-1610
Phone 703-343-1004 · Fax 703-343-1005
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Phone 847-916-4463 · Fax 847-916-4736
Authorized official
Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906
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All 8 Community/Retail Pharmacy providers in Mc Lean · All 1,811 providers in Mc Lean
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