Individual
PETER KALDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 PATRICK ST SE, VIENNA, VA 22180-6651
(347) 755-0567
Mailing address
130 PATRICK ST SE APT 249, VIENNA, VA 22180-6651
(347) 755-0567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23172
MD
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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