Individual
ABEBAW DEJENE TADESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1401 W PIERCE ST, CARLSBAD, NM 88220-4024
(575) 887-0572
Mailing address
609 N ALAMEDA ST APT 6, CARLSBAD, NM 88220-5026
(720) 277-7325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP.00008869
NM
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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