Individual
MULUGETA W BERHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6111 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
(757) 637-4217
(757) 637-4206
Mailing address
6111 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
(757) 637-4217
(757) 637-4206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209736
VA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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