Individual
AYDAGNEHUM GELETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 FORTUNE RD, KISSIMMEE, FL 34744-3993
(407) 348-7686
(407) 348-4790
Mailing address
2340 FORTUNE RD, KISSIMMEE, FL 34744-3993
(407) 348-7686
(407) 348-4790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34631
FL
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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