Individual
DEREJE NIGUSSIE LEMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-6003
(757) 519-9877
Mailing address
3936 LARCHWOOD DR, VIRGINIA BEACH, VA 23456-6806
(757) 319-5560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219462
VA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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