Individual
AYDA MENGISTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
4408 PICOT RD, ALEXANDRIA, VA 22310-2048
(703) 408-1338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14478
MD
183500000X
Pharmacist
PHA3114
DC
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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