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Organization
KING STREET APOTHECARY
Active
Organization
KING STREET APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENYAM MITIKU PHARMD (OWNER/PIC)
(703) 879-3477
Entity
Organization
Contact information
Practice address
4680 KING ST, ALEXANDRIA, VA 22302-1215
(703) 879-3477
(703) 512-4110
Mailing address
4680 KING ST, ALEXANDRIA, VA 22302-1215
(703) 879-3477
(703) 512-4110
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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