Provider Demographics
NPI:1235308016
Name:HAILEMESKEL, BISRAT (PHARMD)
Entity Type:Individual
Prefix:PROF
First Name:BISRAT
Middle Name:
Last Name:HAILEMESKEL
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 1:2300 4TH STREET, NW
Mailing Address - Street 2:SCHOOL OF PHARMACY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059
Mailing Address - Country:US
Mailing Address - Phone:202-806-4214
Mailing Address - Fax:
Practice Address - Street 1:2300 4TH STREET NW
Practice Address - Street 2:SCHOOL OF PHARMACY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-4214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH32151835P1200X
MD118911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy