Individual
MR. ANTENEH MANAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5980 KINGSTOWNE TOWNE CTR, ALEXANDRIA, VA 22315-5876
(703) 921-3127
(703) 921-3131
Mailing address
5980 KINGSTOWNE TOWNE CTR, ALEXANDRIA, VA 22315-5876
(703) 921-3127
(703) 921-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207751
VA
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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