Individual
HANNA A MEKONNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4755 W ANN RD, NORTH LAS VEGAS, NV 89031-3424
(702) 645-1360
(702) 396-8514
Mailing address
9883 MOUNT MADERA ST, LAS VEGAS, NV 89178-7518
(469) 867-1576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22895
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602642642
DEIVER LICENCE NUMBER
NV
Enumeration date
09/30/2022
Last updated
09/30/2022
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