Individual
ABEL YEHDEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 FOREST PARK BLVD, FORT WAYNE, IN 46805-3618
(571) 308-4512
Mailing address
2307 FOREST PARK BLVD, FORT WAYNE, IN 46805-3618
(571) 308-4512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025799A
IN
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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