Individual
BISRAT MULUGETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 OVERLOOK RIDGE TER, APT 410, REVERE, MA 02151-1190
(717) 917-6539
Mailing address
21 OVERLOOK RIDGE TER, APT 410, REVERE, MA 02151-1190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22328
MD
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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