Individual
HALEFOM GEBREMICHEAL GEBREYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2033
(215) 713-2695
Mailing address
1310 S HARMONY ST, PHILADELPHIA, PA 19146-3212
(215) 789-0778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP458075
PA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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