MEDICARE: DR. MISGANAW ASMARE ALEMU 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	A1-0003675	DE

General Provider Information

NPI Number	:	1871733485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MISGANAW ASMARE ALEMU PHARM.D.

Provider Business Mailing Address
First Line	:	1429 COLUMBIA RD NW APT 27
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4718
Country	:	US
Telephone Number	:	202-518-0809
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 COLUMBIA RD NW APT 27
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-4718
Country	:	US
Telephone Number	:	202-518-0809
Fax Number	:

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

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	02/23/2009

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