Individual
JERRY KURIYILEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
134 W BROAD ST, FALLS CHURCH, VA 22046-4201
(703) 538-4835
Mailing address
134 W BROAD ST, FALLS CHURCH, VA 22046-4201
(703) 538-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216966
VA
Other
Enumeration date
11/29/2020
Last updated
03/13/2024
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