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Monument-Fairfax, LLC — NPI 1700401452, Fairfax, VA | NPI Central

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NPI 1700401452

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Monument-Fairfax, LLC

NPI 1700401452 · Long Term Care Pharmacy · Fairfax, VA

Provider details

NPI number: 1700401452
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Patrick Downing, Coo(410) 276-7586

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

11230 Waples Mill Rd Ste 115

Fairfax, VA 22030-5026

Phone: (703) 272-7040

Fax: (703) 272-7497

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

11230 Waples Mill Rd Ste 115

Fairfax, VA 22030-5026

Other names (DBA / former)

Doing business as: Revolution Meds Pharmacy
Former legal business name: Revolution Meds Pharmacy, Inc.

Registry dates

Enumerated: 2020-06-09
Last updated: 2023-10-10
Certified: 2023-10-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.