Individual
BASEM BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 W LEE HWY, WARRENTON, VA 20186-2093
(540) 347-3020
Mailing address
25525 OAK MEDLEY TER, ALDIE, VA 20105-2664
(571) 426-3491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210527
VA
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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