Individual
MELAKU T TOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6717 RICHMOND HWY # VA, ALEXANDRIA, VA 22306-6704
(703) 721-0912
Mailing address
6717 RICHMOND HWY # VA, ALEXANDRIA, VA 22306-6704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221024
VA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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