Healthcare Provider Details
I. General information
NPI: 1073441861
Provider Name (Legal Business Name): ARAYOAN VERGARA MOJICA PHARMD BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45999 CENTER OAK PLZ STE 120
STERLING VA
20166-6586
US
IV. Provider business mailing address
45999 CENTER OAK PLZ STE 120
STERLING VA
20166-6586
US
V. Phone/Fax
- Phone: 888-818-6337
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0202216967 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: