Individual
MAHMOOD ALI AL TAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6010 PLANK RD, FREDERICKSBURG, VA 22407-6234
(540) 548-2144
(540) 595-3713
Mailing address
6010 PLANK RD, FREDERICKSBURG, VA 22407-6234
(540) 548-2144
(540) 595-3713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220201
VA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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