Individual
DR. BEREKET SHIMELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3905 FAIR RIDGE DR, FAIRFAX, VA 22033-2906
(703) 877-0580
Mailing address
5597 SEMINARY RD APT 111S, FALLS CHURCH, VA 22041-2684
(202) 352-7652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210254
VA
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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