Individual
MS. BAHAREH AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
25421 EASTERN MARKETPLACE PLZ, CHANTILLY, VA 20152-5780
(703) 327-7817
Mailing address
6094 CAMERONS FERRY DR, HAYMARKET, VA 20169-3325
(540) 209-2145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220896
VA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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