Provider Demographics
NPI:1689344046
Name:ALEMAYEHU, SELAMAWIT (PHARMD)
Entity Type:Individual
Prefix:
First Name:SELAMAWIT
Middle Name:
Last Name:ALEMAYEHU
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 1:16438 E HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4112
Mailing Address - Country:US
Mailing Address - Phone:720-683-1205
Mailing Address - Fax:
Practice Address - Street 1:1235 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4531
Practice Address - Country:US
Practice Address - Phone:303-778-6069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023771183500000X
CO333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No333600000XSuppliersPharmacy