Individual
STANISLAV MYASKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10580 ARROWHEAD DRIVE, FAIRFAX HEALTH CENTER, FAIRFAX, VA 22030
(571) 432-2680
(571) 432-2795
Mailing address
10580 ARROWHEAD DRIVE, FAIRFAX HEALTH CENTER, FAIRFAX, VA 22030
(571) 432-2680
(571) 432-2795
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202209347
VA
Other
Enumeration date
09/29/2012
Last updated
03/05/2013
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