Individual
PHOEBE B BASTAWROUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-2121
Mailing address
5509 HAMLET HILL CT, FAIRFAX, VA 22030-7282
(703) 266-8502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15008
MD
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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