MEDICARE: GOBEZIE TAREFE PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	22972	MD

General Provider Information

NPI Number	:	1093183048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOBEZIE TAREFE PHARM.D

Provider Business Mailing Address
First Line	:	7408 ANNAPOLIS RD
Second Line	:
City	:	LANDEROVER
State	:	MD
Zip	:	20784-3341
Country	:	US
Telephone Number	:	301-572-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	7408 ANNAPOLIS RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2314
Country	:	US
Telephone Number	:	301-572-9681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2015
Last Update Date	:	03/09/2016

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