Provider Demographics
NPI:1740262369
Name:YALAMANCHILI, VANI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VANI
Middle Name:
Last Name:YALAMANCHILI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VANI
Other - Middle Name:
Other - Last Name:YALAMANCHILI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7917 GLENBARR CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-3167
Mailing Address - Country:US
Mailing Address - Phone:703-629-1864
Mailing Address - Fax:
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:715-231-2008
Practice Address - Fax:571-231-6612
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD125491835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy