Ali Mahboba is a Pharmacist based in Alexandria, VA. Ali Mahboba practices in Alexandria, VA. The NPI Number for Ali Mahboba is 1487370631 and holds a License No. 0202219295 (Virginia).
The current practice location address for Ali Mahboba is 4606 Kenmore Ave, Alexandria, VA and can be reached out via phone at 202-769-8961.
Location: 4606 Kenmore Ave, Alexandria, VA, 22304-1301
Provider Profile Details
NPI Number
1487370631
Provider Name
Ali Mahboba
Credential
Provider Entity Type
Individual
Gender
Male
Address
4606 Kenmore Ave, Alexandria, VA, 22304-1301
Phone Number
202-769-8961
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202219295 | 01 | VA | BOARD F PHARMACY |
Provider Business Practice Location Address Details
Address
4606 Kenmore Ave
City
State
Zip
22304-1301
Phone Number
202-769-8961
Fax Number
Provider Business Mailing Address Details
Address
4606 Kenmore Ave
City
State
Zip
22304-1301
Phone Number
202-769-8961
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
0202219295 (Virginia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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