Healthcare Provider Details

I. General information

NPI: 1518937804
Provider Name (Legal Business Name): GOLDINA EROWELE PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

8103 GOLD CUP LN
BOWIE MD
20715-4552
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-3727
  • Fax: 202-782-8242
Mailing address:
  • Phone: 301-805-9528
  • Fax: 301-805-9528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number15500
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15500
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: