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NPI Code Detail

MEDICARE: DR. ANDARGACHEW ADDISU NEGASH PHARMD

MEDICARE: DR. ANDARGACHEW ADDISU NEGASH 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
1183500000XPharmacistPH100002792DC

General Provider Information

NPI Number : 1801513676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDARGACHEW ADDISU NEGASH PHARMD
Provider Business Mailing Address
First Line : 1808 PROVIDENCE ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-1706
Country : US
Telephone Number : 202-468-3749
Fax Number :
Provider Business Practice Location Address
First Line : 110 CARROLL ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-2001
Country : US
Telephone Number : 202-722-7593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 10/24/2022

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