Individual
HIRUT FASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
1404 SUPERIOR ST, LINCOLN, NE 68521-1945
(402) 477-2622
(402) 477-3751
Mailing address
1404 SUPERIOR ST, LINCOLN, NE 68521-1945
(402) 477-2622
(402) 477-3751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2411
NE
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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