Provider Demographics
NPI:1740959899
Name:ALSUKAIRI, AMMAR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:ALSUKAIRI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6594 FOREST DEW CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2162
Mailing Address - Country:US
Mailing Address - Phone:571-253-9416
Mailing Address - Fax:
Practice Address - Street 1:4300 BACKLICK RD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3142
Practice Address - Country:US
Practice Address - Phone:703-813-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100004197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPH100004197OtherDC BOARD OF PHARMACY