MEDICARE: OLA MAAROUF 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	0202210435	VA

General Provider Information

NPI Number	:	1487949970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLA MAAROUF RPH

Provider Business Mailing Address
First Line	:	9001 STAPLES MILL RD
Second Line	:	TARGET PHARMACY STORE NUMBER T2337
City	:	RICHMOND
State	:	VA
Zip	:	23228-2022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9001 STAPLES MILL RD
Second Line	:	TARGET PHARMACY STORE NUMBER T2337
City	:	RICHMOND
State	:	VA
Zip	:	23228-2022
Country	:	US
Telephone Number	:	804-672-5350
Fax Number	:

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

Provider Enumeration Date	:	06/13/2011
Last Update Date	:	06/13/2011

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