Cassandra Poullath

Pharmacist · Manassas, VA

Individual Active NPI

NPI number 1538769732

Practice location

9401 Liberia Ave
Manassas, VA 20110-1718
Phone
(703) 257-0864
Fax
(703) 257-6356

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NPI record

NPI
1538769732
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
October 27, 2020
Certified
October 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0202207998 VA

Mailing address

8100 Landfall Ct
Gainesville, VA 20155-3803

About Cassandra Poullath

Cassandra Poullath is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 9401 Liberia Ave, Manassas, VA 20110-1718. The NPI number 1538769732 was assigned on October 27, 2020 and the record was last updated on October 27, 2020.

Cassandra Poullath lists a license in the registry: #0202207998 (VA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cassandra Poullath?

The NPI number is 1538769732.

What is the phone number of Cassandra Poullath?

The phone number listed for the practice location is (703) 257-0864.

Where is Cassandra Poullath located?

9401 Liberia Ave, Manassas, VA 20110-1718.

What is the taxonomy code for Cassandra Poullath?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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