Individual
MR. BEROOK ADDISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(262) 751-6167
Mailing address
420 ELMINGTON AVE APT 1412, NASHVILLE, TN 37205-2580
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1590740
WI
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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