Individual
SAMERAWIT DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 BRENTWOOD RD NE, WASHINGTON, DC 20018-1000
(202) 281-3901
Mailing address
611 OTIS PL NW, WASHINGTON, DC 20010-1701
(202) 684-0750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH200004601
DC
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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