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Individual

DR. DEMILADE BENJAMIN HAASTRUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(513) 693-9585
Mailing address
1151 4TH ST SW APT 617, WASHINGTON, DC 20024-2356

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100004022
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH100004022
DC BOARD OF PHARMACY
DC
Enumeration date
12/31/2020
Last updated
12/31/2020
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