Individual
BERHANU DESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7604 WHITLY WAY, LORTON, VA 22079-1745
(703) 336-2705
Mailing address
7604 WHITLY WAY, LORTON, VA 22079-1745
(703) 336-2705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221839
VA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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