Individual
RAHEL TIBEBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 MERCHANT ST, EMPORIA, KS 66801-5002
(620) 343-0121
Mailing address
1215 MERCHANT ST, EMPORIA, KS 66801-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
106533
KS
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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