Provider Demographics
NPI:1467752527
Name:FAHMY, NANCY Y (RPH)
Entity Type:Individual
Prefix:PROF
First Name:NANCY
Middle Name:Y
Last Name:FAHMY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7451 MOUNT VERNON SQ
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-2332
Mailing Address - Country:US
Mailing Address - Phone:703-340-1037
Mailing Address - Fax:703-340-1038
Practice Address - Street 1:7451 MOUNT VERNON SQ
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-2332
Practice Address - Country:US
Practice Address - Phone:703-340-1037
Practice Address - Fax:703-340-1038
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist