Provider Demographics
NPI:1548920606
Name:WORKENEHE, ALAMIREW
Entity type:Individual
Prefix:
First Name:ALAMIREW
Middle Name:
Last Name:WORKENEHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 24TH RD S APT 834
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2625
Mailing Address - Country:US
Mailing Address - Phone:571-354-3869
Mailing Address - Fax:
Practice Address - Street 1:4060 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3424
Practice Address - Country:US
Practice Address - Phone:703-236-0432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202219122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist