Individual ProviderReza VafaPharmacistPharmacy Service ProvidersPractice Address12222 Veirs Mill Rd, Silver Spring, MD 20906-4505(301) 949-6212PECOS EnrollmentBased on the most recent information from CMS, provider Reza Vafa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255591723Provider TypeIndividualFull NameVafa, RezaTitleDr.CredentialPHARM.DGenderMaleSole ProprietorYesEnumeration Date6/10/2008Last Updated6/10/2008Contact InformationPractice LocationPractice Address12222 Veirs Mill Rd, Silver Spring, MD 20906-4505Phone(301) 949-6212Fax(301) 949-4926Mailing LocationMailing Address14207 Arctic Ave, Rockville, MD 20853-2249Phone(301) 949-6212Fax(301) 949-4926Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense14645Maryland