Behailu Zeleke Desta, RPH

Pharmacist · Herndon, VA

Individual Active NPI

NPI number 1841555422

Practice location

13870 Park Center Rd
Herndon, VA 20171-3216
Phone
(703) 796-1188
Fax
(703) 796-2277

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NPI record

NPI
1841555422
Entity type
Individual (Type 1)
Enumeration date
July 10, 2012
Last updated
July 10, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0202209123 VA

Mailing address

13954 Mansarde Ave
#272
Herndon, VA 20171-6318
Phone
(703) 677-2612
Fax
(703) 870-7750

About Behailu Desta

Behailu Zeleke Desta, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 13870 Park Center Rd, Herndon, VA 20171-3216. The NPI number 1841555422 was assigned on July 10, 2012 and the record was last updated on July 10, 2012.

Behailu Desta lists a license in the registry: #0202209123 (VA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Behailu Zeleke Desta, RPH?

The NPI number is 1841555422.

What is the phone number of Behailu Desta?

The phone number listed for the practice location is (703) 796-1188.

Where is Behailu Desta located?

13870 Park Center Rd, Herndon, VA 20171-3216.

What is the taxonomy code for Behailu Desta?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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