Behailu Zeleke Desta, RPH

NPI #1841555422 in Herndon, Virginia

Provider Information

NPI Number: 1841555422
Entity Type: Individual
Name: Behailu Zeleke Desta, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 10, 2012
Last Updated: Jul 10, 2012

Practice Location

Address: 13870 PARK CENTER RD
City: Herndon
State: Virginia
ZIP Code: 20171-3216
Phone: (703) 796-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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