Individual
DR. BIRUK MIKRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213230
VA
Other
Enumeration date
12/14/2014
Last updated
05/01/2015
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