Edmond, Maya Rachelle

Edmond, Maya Rachelle is an individual health care provider with primary practice located at 8095 Innovation Park Dr Ste 400 , Fairfax VA 22031-4868. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Edmond, Maya Rachelle can be contacted via phone (571) 472-5160.

Contact Information

Primary practice address
8095 Innovation Park Dr Ste 400 Fairfax VA 22031-4868
Phone: (571) 472-5160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 26806 Maryland
Pharmacy Service Providers / Ambulatory Care 1835P2201X 0202218707 Virginia

Profile Details

NPI number 1194334524
LBN Legal business name Edmond, Maya Rachelle
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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