Individual
ELIAS AMBAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5249 DUKE ST UNIT LL, ALEXANDRIA, VA 22304-2926
(703) 585-3059
Mailing address
5249 DUKE ST UNIT LL, ALEXANDRIA, VA 22304-2926
(703) 585-3059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006794
VA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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