Individual
MANISHA MALAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7113
Mailing address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 246-7113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207336
VA
Other
Enumeration date
01/25/2012
Last updated
01/04/2019
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