Individual
DR. MENGISTU FEKEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1521-1523 NORTH QUAKER LANE, ALEXANDRIA, VA 22302
(703) 998-6560
Mailing address
3453 LOGSTONE DR, TRIANGLE, VA 22172-2056
(703) 772-5745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205686
VA
Other
Enumeration date
06/07/2010
Last updated
11/09/2021
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