Bull Run Professional Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  9210 Church St Ste 100, Manassas
Virginia, 20110-5524

 571-357-4818    703-782-9393
Bull Run Professional Pharmacy is a Community/Retail Pharmacy in Manassas, Virginia. This pharmacy is owned and operated by Amity Health Inc. It is located at 9210 Church St Ste 100, Manassas and it's customer support contact number is 571-357-4818. The authorized person of Bull Run Professional Pharmacy is Vasumathi Vantikommu who is Pharmacy Owner/manager of the pharmacy and his contact number is 703-568-2835. Active license number of Bull Run Professional Pharmacy is 0201004763 for Community/Retail Pharmacy in Virginia. Bull Run Professional Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Bull Run Professional Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Bull Run Professional Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Bull Run Professional Pharmacy
Type: Community/Retail Pharmacy
Location:9210 Church St Ste 100, Manassas,
Virginia, 20110-5524
Phone:571-357-4818
Fax:703-782-9393
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Vasumathi Vantikommu
Position: Pharmacy Owner/manager
Contact Number: 703-568-2835
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1881128544
NPI Enumeration Date: 19 Apr, 2017
NPI Last Update On: 08 Dec, 2021

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bull Run Professional Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 0201004763VirginiaPrimary
Community/Retail Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2017136935MedicaidVirginia
2168741OtherPk
Medicare Enrollment:
Bull Run Professional Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
7719250026O20170908001299Amity Health IncDME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 42469 Nickens Pl,
Ashburn, Virginia
Zip: 20148-8064
Phone Number: 703-568-2835
Fax Number: --
Patients can reach Bull Run Professional Pharmacy at 9210 Church St Ste 100, Manassas, Virginia or can call on customer care at 571-357-4818.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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