Individual
ABIY ASFAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54450 PROVINE PL, ALEXANDRIA, LA 71303
(207) 907-8449
Mailing address
5445 PROVINE PL, 103, ALEXANDRIA, LA 71303-3700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST. 021007
LA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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