MEDICARE: MARTA ACEVEDO 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
1	183500000X	Pharmacist	0202210230	VA
2	183500000X	Pharmacist	4429	PR

General Provider Information

NPI Number	:	1760783310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTA ACEVEDO RPH

Provider Business Mailing Address
First Line	:	3650 S GLEBE RD
Second Line	:	UNIT 342
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2395
Country	:	US
Telephone Number	:	703-521-1983
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 S GLEBE RD
Second Line	:	UNIT 342
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2395
Country	:	US
Telephone Number	:	703-521-1983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2010
Last Update Date	:	11/14/2010

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Directions to “ MARTA ACEVEDO RPH” Practice Location

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