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Individual

EDMOND ATALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
10864 SUDLEY MANOR DR, MANASSAS, VA 20109-2834
(703) 361-2541
Mailing address
3904 VICTORIA OAKS TRL, ANNANDALE, VA 22003-2068

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222094
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202222094
VA

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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