Provider Demographics
NPI:1609064161
Name:DAY, MALIKAH HAFEEZA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MALIKAH
Middle Name:HAFEEZA
Last Name:DAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4645 FREEDMEN LN
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-8175
Mailing Address - Country:US
Mailing Address - Phone:559-389-2199
Mailing Address - Fax:
Practice Address - Street 1:15225 HEATHCOTE BLVD
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-6264
Practice Address - Country:US
Practice Address - Phone:571-284-3350
Practice Address - Fax:571-284-3359
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17580183500000X
VA0202212449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist