Healthcare Provider Details

I. General information

NPI: 1841008554
Provider Name (Legal Business Name): SENAIT GEBREMARIAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 RITCHIE HWY
GLEN BURNIE MD
21061-4339
US

IV. Provider business mailing address

7901 RITCHIE HWY
GLEN BURNIE MD
21061-4339
US

V. Phone/Fax

Practice location:
  • Phone: 410-761-3341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30187
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: