Provider Demographics
NPI:1578964797
Name:EL-AMIN, BROOKE ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:ASHLEY
Last Name:EL-AMIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:BROOKE
Other - Middle Name:ASHLEY
Other - Last Name:ORTIZ-POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8100
Mailing Address - Country:US
Mailing Address - Phone:202-346-3011
Mailing Address - Fax:202-346-3302
Practice Address - Street 1:700 2ND ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8100
Practice Address - Country:US
Practice Address - Phone:202-346-3011
Practice Address - Fax:202-346-3302
Is Sole Proprietor?:No
Enumeration Date:2014-09-07
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202212591183500000X
DCPH100001661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist