Provider Demographics
NPI:1144820341
Name:STANEKZAI, JAMIL FAROOQ (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMIL
Middle Name:FAROOQ
Last Name:STANEKZAI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14050 WORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4121
Mailing Address - Country:US
Mailing Address - Phone:703-492-2906
Mailing Address - Fax:703-492-8347
Practice Address - Street 1:14202 SMOKETOWN RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4708
Practice Address - Country:US
Practice Address - Phone:703-398-1500
Practice Address - Fax:703-862-3005
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist