Healthcare Provider Details

I. General information

NPI: 1891391348
Provider Name (Legal Business Name): AMINA N MEFIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 H ST NE
WASHINGTON DC
20002-4347
US

IV. Provider business mailing address

13412 TAMARACK RD
SILVER SPRING MD
20904-1469
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-1878
  • Fax:
Mailing address:
  • Phone: 301-288-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302038704
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH100000519
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: