Individual
ABDULEETAH AWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3526 KING ST, ALEXANDRIA, VA 22302-1907
(703) 379-1554
Mailing address
3526 KING ST, ALEXANDRIA, VA 22302-1907
(703) 379-1554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206732
VA
Other
Enumeration date
12/11/2010
Last updated
12/11/2010
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