Dr. Chernet Asfaw Desta, PharmD
Pharmacist in Stafford, VA. Individual provider (NPI-1).
NPI number1982208013
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1982208013
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chernet Asfaw Desta
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202211082 | VA | Yes |
Practice location
388 Garrisonville RdStafford, VA 22554-1529
Phone 540-659-7723
Mailing address
Po Box 40373Arlington, VA 22204-7373
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