Healthcare Provider Details

I. General information

NPI: 1508676552
Provider Name (Legal Business Name): MESAY ABOMSA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW
WASHINGTON DC
20016-2696
US

IV. Provider business mailing address

5597 SEMINARY RD APT 810S
FALLS CHURCH VA
22041-3521
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-4171
  • Fax:
Mailing address:
  • Phone: 202-836-5582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH200004723
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: