Individual
BEIMNET ASMEROM ABRAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2275 N MAYFAIR RD, WAUWATOSA, WI 53226-2207
(414) 774-4821
Mailing address
1405 ROCKRIDGE RD APT 260, WAUKESHA, WI 53188-2893
(408) 807-9157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20401-40
WI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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