Provider Demographics
NPI:1841669488
Name:AMARE, ABEL (PHARMD)
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:AMARE
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 1:5632 STEVENS FOREST RD APT 259
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3348
Mailing Address - Country:US
Mailing Address - Phone:301-792-0735
Mailing Address - Fax:
Practice Address - Street 1:101 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1675
Practice Address - Country:US
Practice Address - Phone:443-602-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist