Individual
AMIR PAUL MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 BACKLICK RD, ANNANDALE, VA 22003-3142
(703) 817-6050
(703) 813-6056
Mailing address
4300 BACKLICK RD, ANNANDALE, VA 22003-3142
(703) 817-6050
(703) 813-6056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212592
VA
183500000X
Pharmacist
PS41955
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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