MEDICARE: ARCHANA POKHAREL PARAJULI 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	0202208222	VA

General Provider Information

NPI Number	:	1790044949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARCHANA POKHAREL PARAJULI RPH

Provider Business Mailing Address
First Line	:	9691 CEDAR FARM CIR
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-5402
Country	:	US
Telephone Number	:	703-536-7100
Fax Number	:	703-536-1033

Provider Business Practice Location Address
First Line	:	5841 WASHINGTON BLVD
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-2923
Country	:	US
Telephone Number	:	703-536-7100
Fax Number	:	703-536-1033

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

Provider Enumeration Date	:	05/09/2012
Last Update Date	:	05/09/2012

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