Individual
MEBRAHTU HAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2656 N WAUWATOSA AVE, WAUWATOSA, WI 53213-1137
(414) 453-9630
Mailing address
2656 N WAUWATOSA AVE, WAUWATOSA, WI 53213-1137
(414) 453-9630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20132-40
WI
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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