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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE YEGANEH MAHAM

Active Sole Proprietor

NICOLE YEGANEH MAHAM is a Pharmacist healthcare provider located in BROADLANDS, Virginia. NPI 1033990452 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BROADLANDS, VA

Registration Details

NPI Number
1033990452
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2023 (2.6532863990169 yrs)
Last Updated
Oct 8, 2024
Licenses
0202221636 (VA)
0202221636 (VA)
Sole Proprietor
Yes

Practice Information

Address
21412 CHICKACOAN TRAIL DR
BROADLANDS, VA, 201484037
Browse VA providers · Browse ZIP 20148
Phone
7038357220
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacy

Other Pharmacist Providers in BROADLANDS, VA

Name Credential NPI
ARUNA CHINTAMANENI RPH 1619277787
NESRA GHARAD RPH 1528368602
SUSAN LYNN WINDSOR RPH 1760783955
ALEENA DESAI PHARMD, MBA 1447537568
MAUNIKA PATEL 1619363777
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.