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Individual

ZELALEM TIZAZU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6900 BARDSTOWN RD, LOUISVILLE, KY 40291-3223
(502) 239-2322
Mailing address
7505 NACHAND LN, LOUISVILLE, KY 40218-2854

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26028569A
IN

Other

Enumeration date
01/31/2020
Last updated
01/31/2020
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