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1992445415
THEODORE YANTSIDES
FAIRFAX, VA
NPI
1992445415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 020220817)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
THEODORE YANTSIDES Pharm D
11620 MONUMENT DR
FAIRFAX, VA 22030-8706
Phone number: 703-653-1651
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Mailing Address
THEODORE YANTSIDES Pharm D
11620 MONUMENT DR
FAIRFAX, VA 22030-8706
Phone number: 703-653-1651
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