Healthcare Provider Details

I. General information

NPI: 1972293702
Provider Name (Legal Business Name): SARAH MAGED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8124 ARLINGTON BLVD
FALLS CHURCH VA
22042-1002
US

IV. Provider business mailing address

8124 ARLINGTON BLVD
FALLS CHURCH VA
22042-1002
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-7280
  • Fax:
Mailing address:
  • Phone: 703-560-7280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202220111
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: