Tavakolian, Azita
Tavakolian, Azita is an sole proprietor health care provider with primary practice located at 6134 Brandon Ave , Springfield VA 22150-2610. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tavakolian, Azita can be contacted via phone (703) 644-0060.Contact Information
Primary practice address
6134 Brandon Ave
Springfield VA 22150-2610
Phone: (703) 644-0060
Fax: (703) 644-0525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0202010998 | Virginia |
Profile Details
| NPI number | 1427342286 |
|---|---|
| LBN Legal business name | Tavakolian, Azita |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2011 |
| Last updated | Mar 24th, 2017 - about 7 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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