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Individual

ASMAMAW MELESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2822 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 216-9399
Mailing address
110 E MARTIAL AVE APT 8113, LAFAYETTE, LA 70508-6981

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021388
LA

Other

Enumeration date
12/12/2015
Last updated
12/12/2015
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