Individual
JUAN GABRIEL JOSE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1345 PARK RD NW, WASHINGTON, DC 20010-2307
(202) 777-1078
Mailing address
1345 PARK RD NW, WASHINGTON, DC 20010-2307
(202) 390-9630
(844) 411-6340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1386874097
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2009
Last updated
12/29/2020
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