Manassas Pharmacy

LBN: Vithalla, Llc
Manassas Pharmacy is an health care organization with primary practice located at 8573 Sudley Rd Ste B , Manassas VA 20110-3809. 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. Vithalla, Llc can be contacted via phone (703) 361-1332, or through Shah, Kamini via phone (703) 361-1332.

Contact Information

Primary practice address
8573 Sudley Rd Ste B Manassas VA 20110-3809
Phone: (703) 361-1332
Fax: (703) 361-5496
Website:
Map and Directions
Authorized official contact:
Name: Shah, Kamini Master of Arts (MA)
Phone: (703) 361-1332

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201002043 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538202981
LBN Legal business name Vithalla, Llc
DBA Doing business as Manassas Pharmacy
Authorized official Shah, Kamini Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Oct 19th, 2016 - about 10 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 1538202981 NPPES
Other 2139157 PK

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