Individual
AMMAR ALSUKAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4300 BACKLICK RD, ANNANDALE, VA 22003-3142
(703) 813-6050
Mailing address
6594 FOREST DEW CT, SPRINGFIELD, VA 22152-2162
(571) 253-9416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100004197
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH100004197
DC BOARD OF PHARMACY
DC
Enumeration date
09/11/2021
Last updated
09/11/2021
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