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St Theodore Llc
Long Term Care Pharmacy in Aldie, Virginia
NPI 1710618129

St Theodore Llc is a Long Term Care Pharmacy based in Aldie, VA and is specialized in Long Term Care Pharmacy. St Theodore Llc practices in Aldie, VA. The NPI Number for St Theodore Llc is 1710618129 and holds a License No. (Virginia).

The current practice location address for St Theodore Llc is 24585 Stone Carver Dr Ste 175, Aldie, VA and can be reached out via phone at 571-367-3914.

Location: 24585 Stone Carver Dr Ste 175, Aldie, VA, 20105-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710618129
Provider Name
St Theodore Llc
Credential
Provider Entity Type
Organization
Address
24585 Stone Carver Dr Ste 175, Aldie, VA, 20105-3255
Phone Number
571-367-3914
Fax Number
Provider Enumeration Date
06/17/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659860500 05 VA
institution
Provider Business Practice Location Address Details
Address
24585 Stone Carver Dr Ste 175
City
Aldie
State
Virginia
Zip
20105-3255
Phone Number
571-367-3914
Fax Number
person
Provider Business Mailing Address Details
Address
24585 Stone Carver Dr Ste 175
City
Aldie
State
Virginia
Zip
20105-3255
Phone Number
571-367-3914
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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