Provider Demographics
NPI:1780713453
Name:GORJI, ZIBA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZIBA
Middle Name:ELIZABETH
Last Name:GORJI
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 1:201 NORTH WASHINGTON ST
Mailing Address - Street 2:KAISER PERMANENTE FALLS CHURCH
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046
Mailing Address - Country:US
Mailing Address - Phone:703-536-1386
Mailing Address - Fax:703-237-4036
Practice Address - Street 1:201 NORTH WASHINGTON ST
Practice Address - Street 2:KAISER PERMANENTE FALLS CHURCH
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-536-1386
Practice Address - Fax:703-237-4036
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist