Provider Demographics
NPI:1598369209
Name:GABRE, BEMINET (PHARMD)
Entity Type:Individual
Prefix:
First Name:BEMINET
Middle Name:
Last Name:GABRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5226 SAINT GENEVIEVE PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3930
Mailing Address - Country:US
Mailing Address - Phone:256-651-3470
Mailing Address - Fax:
Practice Address - Street 1:6400 LANDSDOWNE CTR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5003
Practice Address - Country:US
Practice Address - Phone:703-541-3561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000632183500000X
VA0202208138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist