Reston Lakeside Pharmacy

LBN: Chocola Drugs Inc Fairfay
Reston Lakeside Pharmacy is an health care organization with primary practice located at 1641 Washington Plz N , Reston VA 20190-4305. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Chocola Drugs Inc Fairfay can be contacted via phone (703) 471-4535, or through Cohn, Lawrence via phone (703) 471-4535.

Contact Information

Primary practice address
1641 Washington Plz N Reston VA 20190-4305
Phone: (703) 471-4535
Fax: (703) 437-0040
Website:
Map and Directions
Authorized official contact:
Name: Cohn, Lawrence PHARMACIST
Phone: (703) 471-4535

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201000688 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386738698
LBN Legal business name Chocola Drugs Inc Fairfay
DBA Doing business as Reston Lakeside Pharmacy
Authorized official Cohn, Lawrence PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386738698 NPPES
Virginia MEDICAID 8506094
Virginia Other 4804325

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