MEDICARE: BEMINET GABRE PHARMD

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	PH100000632	DC
2	183500000X	Pharmacist	0202208138	VA

General Provider Information

NPI Number	:	1598369209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEMINET GABRE PHARMD

Provider Business Mailing Address
First Line	:	5226 SAINT GENEVIEVE PL
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-3930
Country	:	US
Telephone Number	:	256-651-3470
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 LANDSDOWNE CTR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-5003
Country	:	US
Telephone Number	:	703-541-3561
Fax Number	:

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

Provider Enumeration Date	:	11/23/2020
Last Update Date	:	11/23/2020

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Directions to “ BEMINET GABRE PHARMD” Practice Location

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