Individual
MEHRET Y BANJAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3642 GEORGIA AVE NW, WASHINGTON, DC 20010-1621
(202) 722-2735
(202) 722-4140
Mailing address
8006 SAMUEL WALLIS ST, LORTON, VA 22079-2348
(703) 839-3916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100001202
DC
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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