Provider Demographics
NPI:1285429779
Name:GOURZI, STEFANIA FILIO (RPH)
Entity type:Individual
Prefix:
First Name:STEFANIA FILIO
Middle Name:
Last Name:GOURZI
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 TAPAWINGO RD SW
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-6256
Mailing Address - Country:US
Mailing Address - Phone:571-358-0656
Mailing Address - Fax:
Practice Address - Street 1:808 TAPAWINGO RD SW
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-6256
Practice Address - Country:US
Practice Address - Phone:571-358-0656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist