Individual
MARTHA EWING KOPHAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 820-1061
(703) 824-1353
Mailing address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 820-1061
(703) 824-1353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007774
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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