Most Relevant Information
Provider Data
| NPI Number: | 1003522194 |
| Provider Name: | BAHAREH AZIZI PHARM-D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0202220896 |
Most Important Dates
| Enumeration Date: | 01/23/2023 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
25421 EASTERN MARKETPLACE PLZ
CHANTILLY
VA
201525780
Practice Location Phone/Fax
| Phone: | 7033277817 |
| Fax: |
Provider Mailing Location
6094 CAMERONS FERRY DR
HAYMARKET
VA
201693325
Provider Mailing Phone/Fax
| Phone: | 5402092145 |
| Fax: |