Prosperity Pharmacy Manassas
LBN: Prosperity Prince William Rx Inc
Prosperity Pharmacy Manassas is an health care organization with primary practice located at 8644 Sudley Rd Suite 120, Manassas VA 20110-4417. 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 Prince William Rx Inc can be contacted via phone (703) 334-5180, or through Odeh, Frank via phone (571) 730-1130.
Contact Information
Primary practice address
8644 Sudley Rd Suite 120
Manassas VA 20110-4417
Phone: (703) 334-5180
Fax: (703) 334-5184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201004275 | Virginia |
Profile Details
| NPI number | 1801035548 |
|---|---|
| LBN Legal business name | Prosperity Prince William Rx Inc |
| DBA Doing business as | Prosperity Pharmacy Manassas |
| Authorized official | Odeh, Frank RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2009 |
| Last updated | Apr 24th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801035548 | NPPES |
| Virginia | MEDICAID | 1801035548 | |
| Virginia | Other | 2118235 |
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