Provider Demographics
NPI:1396146767
Name:OLANI, MUSSE YOHANNES (PHARMD)
Entity type:Individual
Prefix:
First Name:MUSSE
Middle Name:YOHANNES
Last Name:OLANI
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 1:6881 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4816
Mailing Address - Country:US
Mailing Address - Phone:301-270-2638
Mailing Address - Fax:
Practice Address - Street 1:18066 MATENY RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-528-0133
Practice Address - Fax:301-528-5092
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22723183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist