Sanaz Derakhshan

NPI #1902406473 in Chantilly, Virginia

Provider Information

NPI Number: 1902406473
Entity Type: Individual
Name: Sanaz Derakhshan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 42952 BEACHALL ST
City: Chantilly
State: Virginia
ZIP Code: 20152-2013
Phone: (170) 394-4009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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