Individual
IYNAS ELFADIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1452 CHAIN BRIDGE RD, MC LEAN, VA 22101-3706
(703) 356-5900
Mailing address
1452 CHAIN BRIDGE RD, MC LEAN, VA 22101-3706
(703) 356-5900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202213092
PHARMACY LICENSE NUMBER
VA
Enumeration date
11/29/2020
Last updated
11/29/2020
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