| Skyline Pharmacy & Clinic | |
|
5100 Leesburg Pike Ste 101 Alexandria VA 22302-1000 | |
| (703) 417-9074 | |
| Not Available |
| Full Name | Skyline Pharmacy & Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5100 Leesburg Pike Ste 101, Alexandria, Virginia |
| Authorized Official Name and Position | Yasin Abdallah (CEO) |
| Authorized Official Contact | 7034179074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Pharmacy & Clinic 5100 Leesburg Pike Ste 101 Alexandria VA 22302-1000 Ph: (703) 417-9074 | Skyline Pharmacy & Clinic 5100 Leesburg Pike Ste 101 Alexandria VA 22302-1000 Ph: (703) 417-9074 |
| NPI Number | 1154860187 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 01/31/2022 |
| Medicare PECOS PAC ID | 1254609993 |
|---|---|
| Medicare Enrollment ID | O20170621000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154860187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 333600000X | Pharmacy | (Virginia) | Secondary |
| 3336S0011X | Pharmacy - Specialty Pharmacy | (Virginia) | Secondary |
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