| NPI | 1083148290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOGES KIFLE TEKLE CEO/ President 703-772-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004460) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-06-19 |