Individual
JAN V HERMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 VERMONT AVE NW, WASHINGTON, DC 20005-3519
(202) 628-0720
Mailing address
9805 JUNIPER DR, BOWIE, MD 20721-2799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003204
DC
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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