Healthcare Provider Details

I. General information

NPI: 1134675812
Provider Name (Legal Business Name): VERONA XHIXHI PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 RAMSAY WAY APT 332
KENT WA
98032-4501
US

IV. Provider business mailing address

443 RAMSAY WAY APT 332
KENT WA
98032-4501
US

V. Phone/Fax

Practice location:
  • Phone: 314-629-3121
  • Fax:
Mailing address:
  • Phone: 314-629-3121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60665706
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: