<Unavail>

LBN: Prosperity Pharmacy Med Center Inc
<Unavail> is an health care organization with primary practice located at 8505 Arlington Blvd Ste 110 , Fairfax VA 22031-4636. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prosperity Pharmacy Med Center Inc can be contacted via phone (703) 495-3350, or through Gaitan, Alfonso via phone (703) 334-5180.

Contact Information

Primary practice address
8505 Arlington Blvd Ste 110 Fairfax VA 22031-4636
Phone: (703) 495-3350
Fax: (703) 620-3020
Website:
Map and Directions
Authorized official contact:
Name: Gaitan, Alfonso
Phone: (703) 334-5180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004836 Virginia

Profile Details

NPI number 1922596691
LBN Legal business name Prosperity Pharmacy Med Center Inc
DBA Doing business as <Unavail>
Authorized official Gaitan, Alfonso
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2018
Last updated Sep 19th, 2025 - about last year

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 1922596691 NPPES
Other 2177251 PK

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