<Unavail>

LBN: Prosperity Rx Fairfax Inc
<Unavail> is an health care organization with primary practice located at 2740 Prosperity Ave Ste 200 , Fairfax VA 22031-4354. 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 Rx Fairfax Inc can be contacted via phone (703) 334-5180, or through Odeh, Frank via phone (703) 517-4779.

Contact Information

Primary practice address
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354
Phone: (703) 334-5180
Fax: (703) 620-2030
Website:
Map and Directions
Authorized official contact:
Name: Odeh, Frank
Phone: (703) 517-4779

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004617 Virginia

Profile Details

NPI number 1255738076
LBN Legal business name Prosperity Rx Fairfax Inc
DBA Doing business as <Unavail>
Authorized official Odeh, Frank
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2014
Last updated Apr 24th, 2017 - about 9 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 1255738076 NPPES
Other 2147267 PK

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