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1164027116
MARTHA EWING KOPHAZI
ALEXANDRIA, VA
NPI
1164027116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202007774)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
MARTHA EWING KOPHAZI R.Ph.
4800 FILLMORE AVE
ALEXANDRIA, VA 22311-5070
Phone number: 703-820-1061
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Mailing Address
MARTHA EWING KOPHAZI R.Ph.
4800 FILLMORE AVE
ALEXANDRIA, VA 22311-5070
Phone number: 703-820-1061
Copy
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