Individual
DR. HENOCK WOLDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
275 HOSPITAL PKWY, SAN JOSE, CA 95119-1106
(720) 227-2078
Mailing address
202 BANANA GROVE LN, SAN JOSE, CA 95123-6403
(720) 227-2078
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
75029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8349659
DRIVER LICENSE
CA
Enumeration date
10/24/2017
Last updated
10/24/2017
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