Individual
MAHA TANVEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6411 ENGLISH IVY WAY, SPRINGFIELD, VA 22152-2833
(571) 338-7268
Mailing address
6411 ENGLISH IVY WAY, SPRINGFIELD, VA 22152-2833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215470
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202215470
PHARMACIST LICENSE
VA
Enumeration date
07/20/2017
Last updated
07/20/2017
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