Provider Demographics
NPI:1346842176
Name:HAILE, GETNET YEMATA (RPH)
Entity Type:Individual
Prefix:
First Name:GETNET
Middle Name:YEMATA
Last Name:HAILE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8632 CROMWELL DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-1209
Mailing Address - Country:US
Mailing Address - Phone:703-298-9884
Mailing Address - Fax:
Practice Address - Street 1:1345 PARK RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2307
Practice Address - Country:US
Practice Address - Phone:202-777-1078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100002601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist