Annandale Pharmacy

LBN: Evergreen Pharmacy, Inc
Annandale Pharmacy is an health care organization with primary practice located at 7006 Little River Tpke Ste B , Annandale VA 22003-3218. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Evergreen Pharmacy, Inc can be contacted via phone (703) 992-8806, or through Kim, Jee Eun via phone (703) 825-1860.

Contact Information

Primary practice address
7006 Little River Tpke Ste B Annandale VA 22003-3218
Phone: (703) 992-8806
Fax: (703) 992-8805
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jee Eun PHARMD., RPH.
Phone: (703) 825-1860

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004585 Virginia

Profile Details

NPI number 1427465806
LBN Legal business name Evergreen Pharmacy, Inc
DBA Doing business as Annandale Pharmacy
Authorized official Kim, Jee Eun PHARMD., RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2014
Last updated Dec 10th, 2018 - about 8 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 1427465806 NPPES
Other 2146888 PK

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