Provider Demographics
NPI:1972106011
Name:BRESTEL, ANDREW CHRISTIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHRISTIAN
Last Name:BRESTEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 EDMUNDS ST NW APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3916
Mailing Address - Country:US
Mailing Address - Phone:239-464-7178
Mailing Address - Fax:
Practice Address - Street 1:1403 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2828
Practice Address - Country:US
Practice Address - Phone:202-337-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100003195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist