MEDICARE: MRS. FREWEINI W TEWELDE RPH

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	0202205540	VA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669760716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FREWEINI W TEWELDE RPH

Provider Business Mailing Address
First Line	:	1028 S WALTER REED DR STE 7
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-0815
Country	:	US
Telephone Number	:	571-699-3593
Fax Number	:	855-382-7706

Provider Business Practice Location Address
First Line	:	1028 S WALTER REED DR STE 7
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-0815
Country	:	US
Telephone Number	:	571-699-3593
Fax Number	:

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

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	11/14/2022

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