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1801548425
DEREJE NIGUSSIE LEMMA
VIRGINIA BEACH, VA
NPI
1801548425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202219462)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
DEREJE NIGUSSIE LEMMA
801 INDEPENDENCE BLVD
VIRGINIA BEACH, VA 23455-6003
Phone number: 757-519-9877
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Mailing Address
DEREJE NIGUSSIE LEMMA
3936 LARCHWOOD DR
VIRGINIA BEACH, VA 23456-6806
Phone number: 757-319-5560
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