Individual
NEBIYOU YIFRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
719 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2639
(601) 833-8509
Mailing address
719 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2639
(601) 833-8509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E14922
MS
183500000X
Pharmacist
RPH030456
GA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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