MEDICARE: ALIMA HASSEN ALI 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	PH100002143	DC

General Provider Information

NPI Number	:	1841895463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIMA HASSEN ALI PHARMD

Provider Business Mailing Address
First Line	:	2305 HOLLY SPRING DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6404
Country	:	US
Telephone Number	:	310-990-4086
Fax Number	:

Provider Business Practice Location Address
First Line	:	6514 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2912
Country	:	US
Telephone Number	:	202-829-5234
Fax Number	:	202-829-1404

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/01/2020

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