Individual
GRACE BESHARA HANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4320 CANNON RIDGE CT UNIT 2, FAIRFAX, VA 22033-6010
(571) 213-3611
Mailing address
4320 CANNON RIDGE CT UNIT 2, FAIRFAX, VA 22033-6010
(571) 213-3611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208258
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202208258
PHARMACY LICENSE
VA
Enumeration date
07/11/2017
Last updated
07/21/2022
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