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NPI Code Detail

MEDICARE: MAHFAR ALBORZ RPH

MEDICARE: MAHFAR ALBORZ RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202221367VA

General Provider Information

NPI Number : 1124800149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHFAR ALBORZ RPH
Provider Business Mailing Address
First Line : 6404 WILLIAMSBURG BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1153
Country : US
Telephone Number : 703-532-4121
Fax Number :
Provider Business Practice Location Address
First Line : 6404 WILLIAMSBURG BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1153
Country : US
Telephone Number : 703-532-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2023
Last Update Date : 10/16/2023

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