Individual
WENGEL T HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(916) 204-7880
Mailing address
227 S ORANGE GROVE BLVD, PASADENA, CA 91105-3505
(916) 204-7880
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
83172
CA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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