Provider Demographics
NPI:1508440389
Name:AKALU, ALEMAYEHU Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALEMAYEHU
Middle Name:Y
Last Name:AKALU
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 1:1370 PEABODY ST NW APT 303
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1850
Mailing Address - Country:US
Mailing Address - Phone:202-415-5574
Mailing Address - Fax:
Practice Address - Street 1:8601 MARTIN LUTHER KING JR HWY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1500
Practice Address - Country:US
Practice Address - Phone:301-322-7314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist