Provider Demographics
NPI:1801490701
Name:TAI, MUHAMMAD ARSALAN (PHARM D)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ARSALAN
Last Name:TAI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3096 PONY RIDGE TURN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2764
Mailing Address - Country:US
Mailing Address - Phone:571-275-3783
Mailing Address - Fax:
Practice Address - Street 1:9001 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2022
Practice Address - Country:US
Practice Address - Phone:804-672-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist