NPI 1063236040

Tayseer Azzubaydi

Practitioner Pharmacist Glen Allen, VA

Practice location

Address: 10901 W Broad St, Glen Allen, VA 23060-5935
Phone: (804) 935-6916

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0202222446 (VA)

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Registry record

NPI: 1063236040
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2024
Record last updated: 14 Nov 2024

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.