Individual
KHADIJA TUL KUBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(929) 231-7521
Mailing address
26597 MARBURY ESTATES DR, CHANTILLY, VA 20152-6419
(929) 231-7521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217683
VA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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