Organization
KHA INC
Active
Other names
ASHBURN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NADER ABEDINZADEH (PRESIDENT)
(703) 726-9502
Entity
Organization
Contact information
Practice address
20630 ASHBURN RD, STE 166, ASHBURN, VA 20147-5625
(703) 726-9502
(703) 726-9504
Mailing address
20630 ASHBURN RD, STE 166, ASHBURN, VA 20147-5625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201003930
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4837716
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
09/25/2007
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