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Individual

MR. BERHANU ADMASSU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
46965 CEDAR LAKE PLZ, STERLING, VA 20164-8653
(703) 430-3328
Mailing address
904 WOLFE ST APT 1C, ALEXANDRIA, VA 22314-3680
(703) 344-3208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206408
VA

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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