Individual ProviderTewodros E WoldemariamPharmacistPharmacy Service ProvidersPractice Address12222 Veirs Mill Rd, Silver Spring, MD 20906-4505(301) 949-6212(202) 243-8418PECOS EnrollmentBased on the most recent information from CMS, provider Tewodros E Woldemariam 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 ID1972883007Provider TypeIndividualFull NameWoldemariam, Tewodros ETitleDr.CredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date8/21/2011Last Updated8/21/2011Contact InformationPractice LocationPractice Address12222 Veirs Mill Rd, Silver Spring, MD 20906-4505Phone(301) 949-6212FaxUnlisted FaxMailing LocationMailing Address7019 Georgia Ave. NW Apt 312, Washington, DC 20012Phone(202) 243-8418FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense20347Maryland