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Provider Information for 1033536909

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

REMEDIUM PHARMACY, LLC

Organization Subpart: NO

Organization NPI: 1033536909

Calendar   Last Updated:  2016-03-14
  Certification Date: 

Details

Name Value
NPI 1033536909
Enumeration Date 2014-03-27
NPI Type 2- Organization
Status Active
Authorized Official Information Name: OSSAMA HANNA NASRALLA
Title: MANAGING PARTNER
Phone: 703-743-7605
Mailing Address 3957 PENDER DR SUITE #104
FAIRFAX, VA 22030-6027
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 3957 PENDER DR SUITE #104
FAIRFAX, VA 22030-6027
United States

Phone: 703-743-7605 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 3336C0003X - Pharmacy Community/Retail Pharmacy