Individual
KHALID MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
(703) 631-9440
Mailing address
5652 PICKWICK RD, CENTREVILLE, VA 20120-2057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221316
VA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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