Individual
MR. BADRUDDOZA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3478
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 765-4865
(540) 765-4865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02451000
NJ
Other
Enumeration date
04/03/2006
Last updated
02/03/2014
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