Provider Demographics
NPI:1891199386
Name:ALEBACHEW, GETENET (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:GETENET
Middle Name:
Last Name:ALEBACHEW
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 130TH AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1760
Mailing Address - Country:US
Mailing Address - Phone:425-885-6685
Mailing Address - Fax:425-556-1852
Practice Address - Street 1:4000 W 27TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-2422
Practice Address - Country:US
Practice Address - Phone:509-582-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60474772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist