Provider Demographics
NPI:1235411075
Name:ZAKIAN, ANNIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:ZAKIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 REGENTS TOWER ST
Mailing Address - Street 2:APT 142
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1257
Mailing Address - Country:US
Mailing Address - Phone:201-294-0470
Mailing Address - Fax:
Practice Address - Street 1:3021 REGENTS TOWER ST
Practice Address - Street 2:APT 142
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1257
Practice Address - Country:US
Practice Address - Phone:201-294-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist