Provider Demographics
NPI:1891396750
Name:FARHOUMAND, FARINAZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FARINAZ
Middle Name:
Last Name:FARHOUMAND
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 1:17041 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2129
Mailing Address - Country:US
Mailing Address - Phone:703-221-7892
Mailing Address - Fax:
Practice Address - Street 1:17041 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2129
Practice Address - Country:US
Practice Address - Phone:703-221-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19064183500000X
VA0202208055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist