Healthcare Provider Details

I. General information

NPI: 1891614798
Provider Name (Legal Business Name): RAYAN KAMAL SALIH PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12420 DILLINGHAM SQ
LAKE RIDGE VA
22192-5258
US

IV. Provider business mailing address

12420 DILLINGHAM SQ
LAKE RIDGE VA
22192-5258
US

V. Phone/Fax

Practice location:
  • Phone: 703-580-8180
  • Fax:
Mailing address:
  • Phone: 703-580-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223632
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: