Individual
AZAM RAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4310 FORTUNA CENTER PLZ, DUMFRIES, VA 22025-1538
(703) 586-6133
Mailing address
4161 TALON DR, DUMFRIES, VA 22025-1983
(917) 595-9610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208468
VA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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