Provider Demographics
NPI:1922984897
Name:ABDEEN, AMAL
Entity type:Individual
Prefix:
First Name:AMAL
Middle Name:
Last Name:ABDEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7222 DEAVERS RUN CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-3506
Mailing Address - Country:US
Mailing Address - Phone:804-263-8417
Mailing Address - Fax:
Practice Address - Street 1:7222 DEAVERS RUN CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-3506
Practice Address - Country:US
Practice Address - Phone:804-263-8417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202223030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist