Individual ProviderFitsum G GuangulPharmacistPharmacy Service ProvidersPractice Address13870 Georgia Ave, Silver Spring, MD 20906-2924(301) 871-6400(301) 515-8106PECOS EnrollmentBased on the most recent information from CMS, provider Fitsum G Guangul does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073828372Provider TypeIndividualFull NameGuangul, Fitsum GTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date8/11/2010Last Updated8/11/2010Contact InformationPractice LocationPractice Address13870 Georgia Ave, Silver Spring, MD 20906-2924Phone(301) 871-6400Fax(301) 460-0145Mailing LocationMailing Address5 Drumcastle Ct, Germantown, MD 20876-5637Phone(301) 515-8106FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense16470Maryland