Individual
KALEB NEGUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 S HAYES ST, ARLINGTON, VA 22202-2700
(703) 418-3790
Mailing address
1201 S HAYES ST, ARLINGTON, VA 22202-2700
(703) 418-3790
(703) 418-3795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215517
VA
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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