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NPI Code Detail

MEDICARE: DR. SERKALEM ADMASU PHARM D

MEDICARE:  DR. SERKALEM  ADMASU  PHARM D
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
1183500000XPharmacist0202205163VA

General Provider Information

NPI Number : 1720370513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERKALEM ADMASU PHARM D
Provider Business Mailing Address
First Line : 2425 N HARRISON ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1611
Country : US
Telephone Number : 703-532-8755
Fax Number :
Provider Business Practice Location Address
First Line : 2425 N HARRISON ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1611
Country : US
Telephone Number : 703-532-8755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2011
Last Update Date : 05/11/2011

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Directions to “ DR. SERKALEM ADMASU PHARM D” Practice Location

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