Individual
HANEEN KALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45451 BAGGETT TER, STERLING, VA 20166-3034
(619) 569-6404
Mailing address
6305 CASTLE PL STE 1E, FALLS CHURCH, VA 22044-1905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24701
MARYLAND BOARD OF PHARMACY
—
Enumeration date
07/06/2020
Last updated
07/06/2020
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