Individual
BERHANE A DEMOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5742 E MOCKINGBIRD LN, DALLAS, TX 75206-5422
(214) 826-7136
Mailing address
1513 FLINTWOOD DR, RICHARDSON, TX 75081-5331
(214) 542-6598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39953
TX
Other
Enumeration date
11/13/2009
Last updated
01/11/2023
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