Individual
MR. ALEMAYEHU LEMMA MANDEFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 JOHN MARSHALL HWY, FRONT ROYAL, VA 22630-4577
(540) 631-0332
Mailing address
800 JOHN MARSHALL HWY, FRONT ROYAL, VA 22630-4577
(571) 214-2910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204483
VA
183500000X
Pharmacist
RP0007415
WV
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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