Organization
KING STREET APOTHECARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHEL YIRGA MD (CEO)
(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
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124871959
—
VA
Enumeration date
04/10/2024
Last updated
02/12/2026
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