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Dr. Tayiana J Roussell, Pharm D

Pharmacist in Alexandria, VA. Individual provider (NPI-1).

NPI number1508167404
StatusActive
Last updated in NPPESNov 9, 2010

Details

NPI
1508167404
Entity type
Individual (NPI-1)
Name
Dr. Tayiana J Roussell
Credential
Pharm D
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 9, 2010
Last updated
Nov 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202207573VAYes

Practice location

299 S Van Dorn St
Alexandria, VA 22304

Phone 703-340-1037

Mailing address

2400 24th Rd S
Unit 436
Arlington, VA 22206-2639

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