Individual
JIMMY THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
225 MAPLE AVE E, VIENNA, VA 22180-4630
(703) 259-6342
Mailing address
225 MAPLE AVE E, VIENNA, VA 22180-4630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202223468
VA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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