Provider Demographics
NPI:1720370513
Name:ADMASU, SERKALEM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SERKALEM
Middle Name:
Last Name:ADMASU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1611
Mailing Address - Country:US
Mailing Address - Phone:703-532-8755
Mailing Address - Fax:
Practice Address - Street 1:2425 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1611
Practice Address - Country:US
Practice Address - Phone:703-532-8755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist