Individual
MS. GITA KARIMIANPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 OLD TRAIL DR, CROZET, VA 22932-3341
(434) 242-7734
Mailing address
1070 OLD TRAIL DR, CROZET, VA 22932-3341
(434) 242-7734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221216851
WALMART
VA
Enumeration date
11/05/2020
Last updated
11/05/2020
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