Individual
DEMMELASH MITKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10204 FOLK ST, SILVER SPRING, MD 20902-3856
(301) 213-0028
Mailing address
6516 LANDOVER RD, CHEVERLY, MD 20785-1445
(301) 773-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22250
MD
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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