Individual
HALEFOM BERHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4012
(651) 646-8858
Mailing address
1440 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4012
(651) 646-8858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125909
MN
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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