Individual
YESHEWANEH BEYENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2668 LAKE RD, TUCKER, GA 30084-2347
(518) 479-9092
Mailing address
2668 LAKE RD, TUCKER, GA 30084-2347
(518) 479-9092
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
29265
TX
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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