Individual
PHILEMON HAILE TESFAZGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8935 E 21ST ST, INDIANAPOLIS, IN 46219-1938
(317) 897-6536
Mailing address
8935 E 21ST ST, INDIANAPOLIS, IN 46219-1938
(317) 897-6536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029441A
IN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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