Desta, Behailu Zeleke

Desta, Behailu Zeleke is an individual health care provider with primary practice located at 13870 Park Center Rd , Herndon VA 20171-3216. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Desta, Behailu Zeleke can be contacted via phone (703) 796-1188.

Contact Information

Primary practice address
13870 Park Center Rd Herndon VA 20171-3216
Phone: (703) 796-1188
Fax: (703) 796-2277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202209123 Virginia

Profile Details

NPI number 1841555422
LBN Legal business name Desta, Behailu Zeleke
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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