Individual provider · NPI-1

Mohammed Shoeb Ali, PharmD

Pharmacist · Manassas, VA

NPI number1245831684
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1245831684
Entity type
Individual (NPI-1)
Name
Mohammed Shoeb Ali
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2020
Certification date
Oct 30, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202214336VAYes

Practice location

8025 Sudley Rd
Manassas, VA 20109-8001

Phone 703-361-9210

Mailing address

8025 Sudley Rd
Manassas, VA 20109-8001

Phone 703-361-9210

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