Individual
SHASA YAZIGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 LOUGHBORO RD NW, PHARMACY DEPARTMENT, WASHINGTON, DC 20016-2633
(202) 660-7414
Mailing address
5230 TUCKERMAN LN APT 1305, NORTH BETHESDA, MD 20852-3867
(415) 254-2453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
100000970
DC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
100000970
MD
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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