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Individual

HABTAMU MOLLA ATIKELET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1311 E BELL RD, PHOENIX, AZ 85022-2724
(602) 594-5035
Mailing address
15620 N 25TH AVE APT A103, PHOENIX, AZ 85023-4205

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025478
AZ

Other

Enumeration date
11/03/2021
Last updated
11/03/2021
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