Provider Demographics
NPI:1306671292
Name:OASIS PHARMACY LLC
Entity type:Organization
Organization Name:OASIS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-628-6663
Mailing Address - Street 1:13141 HABROWN CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5660
Mailing Address - Country:US
Mailing Address - Phone:703-628-6663
Mailing Address - Fax:
Practice Address - Street 1:6305 CASTLE PL STE 1E
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1905
Practice Address - Country:US
Practice Address - Phone:703-628-6663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy