Individual
BEFKADU T MENGISTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
123 S 69TH ST, UPPER DARBY, PA 19082-3212
(610) 352-5300
Mailing address
2738 ISLAND AVE, PHILADELPHIA, PA 19153-1820
(215) 921-4890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP437550P
PA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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