Provider Demographics
NPI:1922592492
Name:MELAKU, SENAIT A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SENAIT
Middle Name:A
Last Name:MELAKU
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 1:12410 ANNES PROSPECT DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3377
Mailing Address - Country:US
Mailing Address - Phone:240-441-0157
Mailing Address - Fax:
Practice Address - Street 1:6881 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4816
Practice Address - Country:US
Practice Address - Phone:301-270-2638
Practice Address - Fax:301-270-2853
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist