Wasihun Berhe Nicodimos PHARMACIST

NPI 1437580479 - Pharmacist - 183500000X

NPI Details
NPI 1437580479
Gender Male
Enumeration Date 12/02/2013
Last Updated 06/20/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
HWY163
BUILDING #2010
KAYENTA AZ, 86033, US
Phone (928) 697-4165
Fax
Business Location
PO BOX 1209
WARM SPRINGS OR, 97761-1209, US
Phone (503) 515-2314
Fax
Toxanomy
Taxonomy Code 183500000X
License State South Dakota
License Number 6112
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According to our database, Wasihun Berhe Nicodimos PHARMACIST NPI is 1437580479, taxonomy code is 183500000X and license number is 6112, license state is located at South Dakota. Wasihun Berhe Nicodimos PHARMACIST physically located at Hwy163, Kayenta AZ, 86033. NPI Number Wasihun Berhe Nicodimos PHARMACIST has the Individual type.

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1437580479 NPI number is provided on an as is basis without warranty of any kind. 1437580479 is maintained by the National Plan & Provider Enumeration System. The contents of Wasihun Berhe Nicodimos PHARMACIST are for informational purposes only.