Individual provider · Type 1 NPI
Behailu Zeleke Desta, RPH
Pharmacist · Herndon, VA
Practice location
13870 Park Center Rd
Herndon, VA 20171-3216
Fax (703) 796-2277
Mailing address
13954 Mansarde Ave, #272
Herndon, VA 20171-6318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 0202209123 (VA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1841555422
Behailu Zeleke Desta, RPH's National Provider Identifier is 1841555422, issued on Jul 10, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Herndon, VA. The record was last updated on Jul 10, 2012.