Individual
HENOK MEKONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4444 JACKSON ST, ALEXANDRIA, LA 71303-2708
(318) 448-9340
Mailing address
4040 PARLIAMENT DR APT 239, ALEXANDRIA, LA 71303-3062
(312) 714-4692
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PNT. 047751
LA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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