Provider Demographics
NPI:1871733485
Name:ALEMU, MISGANAW ASMARE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MISGANAW
Middle Name:ASMARE
Last Name:ALEMU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 COLUMBIA RD NW APT 27
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4718
Mailing Address - Country:US
Mailing Address - Phone:202-518-0809
Mailing Address - Fax:
Practice Address - Street 1:1429 COLUMBIA RD NW APT 27
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4718
Practice Address - Country:US
Practice Address - Phone:202-518-0809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00036751835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist