Individual
ANTENEH YIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9498 CHARTER GATE DR, MECHANICSVILLE, VA 23116-5171
(804) 550-4914
Mailing address
5400 MACALPINE CIR APT 1138, GLEN ALLEN, VA 23059-5570
(216) 313-1691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218176
VA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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