Individual
NISHA D KHILLARKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4368 CHANTILLY SHOPPING CENTER DR, CHANTILLY, VA 20151-4016
(571) 392-3087
(571) 392-3082
Mailing address
4368 CHANTILLY SHOPPING CENTER DR, CHANTILLY, VA 20151-4016
(571) 392-3087
(571) 392-3082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210998
VA
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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