NPI 1104421882 · live from the CMS NPI Registry
Mehret Y Banjaw, Pharmacist
Pharmacist in Washington, DC. National Provider Identifier 1104421882, active.
NPI record
| NPI | 1104421882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 3642 Georgia Ave Nw, Washington, DC 20010 |
| Practice phone | 202-722-2735 |
| Mailing address | 8006 Samuel Wallis St, Lorton, VA 22079 |
| Enumerated | December 1, 2020 |
| Last updated | December 1, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | PH100001202 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.