MRS. Mimi Gulelat, RPH

NPI #1619241809 in Lorton, Virginia

Provider Information

NPI Number: 1619241809
Entity Type: Individual
Name: MRS. Mimi Gulelat, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 6, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 8045 WINSTEAD MANOR LN
City: Lorton
State: Virginia
ZIP Code: 22079-1145
Phone: (703) 622-8360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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