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Nicole Yeganeh Maham
Pharmacy in Leesburg, Virginia
NPI 1033990452

Nicole Yeganeh Maham is a Pharmacy based in Leesburg, VA. Nicole Yeganeh Maham practices in Leesburg, VA. The NPI Number for Nicole Yeganeh Maham is 1033990452 and holds a License No. 0202221636 (Virginia).

The current practice location address for Nicole Yeganeh Maham is 447 Pearlbush Sq Ne, Leesburg, VA and can be reached out via phone at 703-835-7220.

Location: 447 Pearlbush Sq Ne, Leesburg, VA, 20176-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033990452
Provider Name
Nicole Yeganeh Maham
Credential
Provider Entity Type
Individual
Gender
Female
Address
447 Pearlbush Sq Ne, Leesburg, VA, 20176-4049
Phone Number
703-835-7220
Fax Number
Provider Enumeration Date
10/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
447 Pearlbush Sq Ne
City
Leesburg
State
Virginia
Zip
20176-4049
Phone Number
703-835-7220
Fax Number
person
Provider Business Mailing Address Details
Address
447 Pearlbush Sq Ne
City
Leesburg
State
Virginia
Zip
20176-4049
Phone Number
703-835-7220
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
0202221636 (Virginia)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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