Provider Demographics
NPI:1841681426
Name:MEKURIA, TSION S (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:TSION
Middle Name:S
Last Name:MEKURIA
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 1:3320 S 28TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1342
Mailing Address - Country:US
Mailing Address - Phone:703-677-0496
Mailing Address - Fax:240-348-7160
Practice Address - Street 1:9131 PISCATAWAY RD STE 670
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2579
Practice Address - Country:US
Practice Address - Phone:240-348-7157
Practice Address - Fax:240-348-7160
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22154183500000X
VA0202212732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist