| My Dr's Pharmacy | |
|
492 Elden St Herndon VA 20170-4513 | |
| (703) 215-8000 | |
| (703) 955-7558 |
| Full Name | My Dr's Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 492 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Jamil Manna (OWNER, PIC, AO) |
| Authorized Official Contact | 7032158000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dr's Pharmacy 492 Elden St Herndon VA 20170-4513 Ph: (703) 215-8000 | My Dr's Pharmacy 492 Elden St Herndon VA 20170-4513 Ph: (703) 215-8000 |
| NPI Number | 1629426648 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4082970272 |
|---|---|
| Medicare Enrollment ID | O20200610002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629426648 | NPI | - | NPPES |
| 1629426648 | Medicaid | VA | |
| 2160792 | Other | PK |
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