Individual
FARHANA SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 HOADLY RD, MANASSAS, VA 20112-3436
(703) 259-6390
Mailing address
6400 HOADLY RD, MANASSAS, VA 20112-3436
(703) 259-6390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220739
VA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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