Individual
FISEHA FETTENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4765 REDAN RD, STONE MOUNTAIN, GA 30088-4550
(404) 299-5322
Mailing address
4765 REDAN RD, STONE MOUNTAIN, GA 30088-4550
(404) 299-5322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023496
GA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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