Individual
DR. KOOROSH JEIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
200 MEDICAL DR, SUITE 289, HAMPTON, VA 23666-1763
(757) 750-1877
(757) 690-9040
Mailing address
918 JAMERSON LN, GLEN ALLEN, VA 23059-5680
(703) 459-7394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209620
VA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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