Individual
MS. AMRITA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 FAIRFAX BLVD, FAIRFAX, VA 22030-3138
(703) 273-4515
(703) 273-0556
Mailing address
10521 FAIRFAX BLVD, FAIRFAX, VA 22030-3138
(703) 273-4515
(703) 273-0556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207348
VA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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