Provider Demographics
NPI:1558833848
Name:CHERNET-PRICE, TSIGE
Entity type:Individual
Prefix:MRS
First Name:TSIGE
Middle Name:
Last Name:CHERNET-PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 SPRIGGS REQUEST WAY
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2596
Mailing Address - Country:US
Mailing Address - Phone:301-742-0196
Mailing Address - Fax:
Practice Address - Street 1:7790 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3957
Practice Address - Country:US
Practice Address - Phone:301-577-5701
Practice Address - Fax:301-577-6199
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD14011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist