Provider Demographics
NPI:1790085868
Name:ZEMUI, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ZEMUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 S VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-4303
Mailing Address - Country:US
Mailing Address - Phone:703-823-2641
Mailing Address - Fax:703-823-5285
Practice Address - Street 1:299 S VAN DORN ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-4303
Practice Address - Country:US
Practice Address - Phone:703-823-2641
Practice Address - Fax:703-823-5285
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist