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Individual

DR. LIBY KURIAN THADATHIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
6053 LEESBURG PIKE, FALLS CHURCH, VA 22041-2205
(703) 845-3771
Mailing address
6053 LEESBURG PIKE, FALLS CHURCH, VA 22041-2205

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211779
VA

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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