Individual
HAIMANOT KIFLE KASSAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1510 SARDIS RD N, CHARLOTTE, NC 28270-1408
(704) 708-5861
Mailing address
1510 SARDIS RD N, CHARLOTTE, NC 28270-1408
(704) 708-5861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25512
NC
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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