Individual
KEBEDE MARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5221 BROOK RD, RICHMOND, VA 23227-2901
(804) 266-4768
Mailing address
4111 MORIN ST, ALEXANDRIA, VA 22312-1054
(703) 956-0414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208198
VA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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