Henry Moore, Channa

Henry Moore, Channa is an individual health care provider with primary practice located at 1671 Crystal Square Arc , Arlington VA 22202-3322. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Henry Moore, Channa can be contacted via phone (703) 413-0525.

Contact Information

Primary practice address
1671 Crystal Square Arc Arlington VA 22202-3322
Phone: (703) 413-0525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202-011338 Virginia

Profile Details

NPI number 1780946392
LBN Legal business name Henry Moore, Channa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2012
Last updated Jun 10th, 2012 - about 13 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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