Individual
PETER S MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-3708
(202) 636-3648
Mailing address
1401 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-3708
(202) 636-3648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100002282
DC
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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