OrganizationActive
King Street Apothecary
NPI 1144041690 · Long Term Care Pharmacy · Alexandria, VA
Provider details
- NPI number
- 1144041690
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Benyam Mitiku, Owner/Pic(703) 879-3477
Specialties & taxonomies
Suppliers
Practice location
4680 King St
Alexandria, VA 22302-1215
Phone: (703) 879-3477
Fax: (703) 512-4110
Approximate (ZIP-level) locationGet directions
Mailing address
4680 King St
Alexandria, VA 22302-1215
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.