Individual
LARA GHAZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6351 COLUMBIA PIKE, FALLS CHURCH, VA 22041-1224
(703) 256-4598
Mailing address
6351 COLUMBIA PIKE, FALLS CHURCH, VA 22041-1224
(703) 256-4598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222242
VA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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