MEDICARE: ZELALEM BEKELE

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	21217	MD
2	183500000X	Pharmacist	PH100001180	DC

General Provider Information

NPI Number	:	1598167108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZELALEM BEKELE

Provider Business Mailing Address
First Line	:	1290 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3242
Country	:	US
Telephone Number	:	301-588-6261
Fax Number	:	301-588-2297

Provider Business Practice Location Address
First Line	:	1290 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3242
Country	:	US
Telephone Number	:	301-588-6261
Fax Number	:	301-588-2297

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

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	09/25/2014

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Directions to “ ZELALEM BEKELE ” Practice Location

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