Provider Demographics
NPI:1013623180
Name:FEROZE, HABIBA (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:HABIBA
Middle Name:
Last Name:FEROZE
Suffix:
Gender:F
Credentials:PHARMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7334 LEE HWY UNIT T2
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4723
Mailing Address - Country:US
Mailing Address - Phone:703-338-4705
Mailing Address - Fax:
Practice Address - Street 1:7334 LEE HWY UNIT T2
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4723
Practice Address - Country:US
Practice Address - Phone:703-338-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202220706183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist