Organization
RXCLINICLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASIHUN BERHE NICODIMOS PHARMD, BCPS, BCMTMS (CLINICAL PHARMACIST, HIV PHARMACIST)
(505) 402-7990
Entity
Organization
Contact information
Practice address
8700 GEORGIA AVE STE 403, SILVER SPRING, MD 20910-6600
(505) 402-7990
Mailing address
8700 GEORGIA AVE STE 403, SILVER SPRING, MD 20910-6600
(505) 402-7990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
10/01/2021
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