Individual
DR. CHERNET ASFAW DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
388 GARRISONVILLE RD, STAFFORD, VA 22554-1529
(540) 659-7723
Mailing address
PO BOX 40373, ARLINGTON, VA 22204-7373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1974
CVS
VA
Enumeration date
11/30/2020
Last updated
11/30/2020
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