NPI 1003680968

Laxman Gautam

Practitioner Pharmacist Alexandria, VA

Practice location

Address: 6717 Richmond Hwy, Alexandria, VA 22306-6704
Phone: (703) 721-0912

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0202221686 (VA)

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Registry record

NPI: 1003680968
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2023
Record last updated: 10 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.