Provider Demographics
NPI:1154615276
Name:ENGINEER, RADHIKA R (PHARM D)
Entity type:Individual
Prefix:
First Name:RADHIKA
Middle Name:R
Last Name:ENGINEER
Suffix:
Gender:F
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 1:900 ARMY NAVY DR
Mailing Address - Street 2:APT 1538
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-4927
Mailing Address - Country:US
Mailing Address - Phone:864-423-3791
Mailing Address - Fax:
Practice Address - Street 1:6600 RICHMOND HWY
Practice Address - Street 2:T-1533
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-6601
Practice Address - Country:US
Practice Address - Phone:703-253-0019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist