Individual provider · NPI-1

Khadeejah Aayeeshah El

Pharmacy Technician · Norfolk, VA

NPI number1366027658
StatusActive
Last updated in NPPESMar 15, 2023

Details

NPI
1366027658
Entity type
Individual (NPI-1)
Name
Khadeejah Aayeeshah El
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2021
Certification date
Mar 15, 2023
Last updated
Mar 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician0230028639VAYes

Practice location

7530 Tidewater Dr
Norfolk, VA 23505-3717

Phone 757-480-3051

Mailing address

7530 Tidewater Dr
Norfolk, VA 23505-3717

Phone 757-480-3051

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