Individual
ADNEW M WORKNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
167 MAIN ST, TUBA CITY, AZ 86045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61973
TX
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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