Provider Demographics
NPI:1053916833
Name:BACHIR BEY, SIHEM (RPH)
Entity type:Individual
Prefix:
First Name:SIHEM
Middle Name:
Last Name:BACHIR BEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 PROSPERITY AVE SE APT E
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-4161
Mailing Address - Country:US
Mailing Address - Phone:571-431-2773
Mailing Address - Fax:
Practice Address - Street 1:4338 DALE BLVD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2402
Practice Address - Country:US
Practice Address - Phone:703-680-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist