Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassandra Poullath

Individual provider Pharmacist · NPI 1538769732

Cassandra Poullath is a Pharmacist in Manassas, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
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Practice location Address checks out

9401 Liberia Ave
Manassas, VA 20110-1718
Phone: (703) 257-0864
Fax: (703) 257-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202207998 (VA)

Record details

NPI number1538769732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address8100 Landfall Ct, Gainesville, VA 20155-3803

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