Individual
DR. MARIAM MIRKHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1860 TOWN CENTER DR STE G-200, RESTON, VA 20190-5896
(703) 736-2824
(703) 736-2857
Mailing address
1860 TOWN CENTER DR STE G-200, RESTON, VA 20190-5896
(703) 736-2824
(703) 736-2857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207599
VA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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