Individual
WALLACE KIGOTHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5725
(202) 678-6010
Mailing address
2202 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5725
(202) 678-6010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100000679
DC
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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