Individual
FERESHTEH EJTEMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
6334 KARMICH ST, FAIRFAX STATION, VA 22039-1621
(703) 909-8495
(703) 425-2052
Mailing address
6334 KARMICH ST, FAIRFAX STATION, VA 22039-1621
(703) 909-8495
(703) 425-2052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202008014
VA
Other
Enumeration date
10/18/2010
Last updated
03/15/2012
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