Provider Demographics
NPI:1972483477
Name:AL TEKREETI, TAHER (HOSPITAL PHARMACIST)
Entity type:Individual
Prefix:
First Name:TAHER
Middle Name:
Last Name:AL TEKREETI
Suffix:
Gender:M
Credentials:HOSPITAL PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 MARSHALL RUN CIR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5847
Mailing Address - Country:US
Mailing Address - Phone:718-909-0012
Mailing Address - Fax:
Practice Address - Street 1:4510 MARSHALL RUN CIR APT 102B
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5862
Practice Address - Country:US
Practice Address - Phone:718-909-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist