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NPI Code Detail

MEDICARE: LEE ANN PEYTON RPH

MEDICARE: LEE ANN PEYTON 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
1183500000XPharmacist6567VA

General Provider Information

NPI Number : 1699774281
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE ANN PEYTON RPH
Provider Business Mailing Address
First Line : 4902 TARHEEL WAY
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-4460
Country : US
Telephone Number : 703-323-4095
Fax Number : 703-323-4252
Provider Business Practice Location Address
First Line : 9901 BRADDOCK RD
Second Line :
City : FAIRFAX
State : VA
Zip : 22032-1904
Country : US
Telephone Number : 703-323-4095
Fax Number : 703-323-4252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/08/2007

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