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Individual

JAMIL MANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1890 METRO CENTER DR, RESTON, VA 20190-5286
(703) 709-1560
(703) 709-1645
Mailing address
492 ELDEN ST, HERNDON, VA 20170-4513
(703) 215-8000
(703) 955-7558

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212339
VA

Other

Enumeration date
10/23/2013
Last updated
05/31/2023
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