Individual
DR. HAILU T WAKJERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1511 EMANCIPATION HWY, FREDERICKSBURG, VA 22401-4631
(540) 899-6874
Mailing address
7115 TANWORTH DR, WEST SPRINGFIELD, VA 22152-3663
(571) 340-7071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206385
VA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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