Theodore Yantsides JR., PHARM D

NPI #1992445415 in Fairfax, Virginia

Provider Information

NPI Number: 1992445415
Entity Type: Individual
Name: Theodore Yantsides JR., PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Mar 31, 2022
Last Updated: Mar 31, 2022

Practice Location

Address: 11620 MONUMENT DR
City: Fairfax
State: Virginia
ZIP Code: 22030-8706
Phone: (703) 653-1651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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