Individual
BRHANE TADESSE GEBRESLASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5131 S OLATHE CIR, CENTENNIAL, CO 80015-4136
(720) 404-3223
Mailing address
5131 S OLATHE CIR, CENTENNIAL, CO 80015-4136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020259
CO
183500000X
Pharmacist
18094
NV
183500000X
Pharmacist
50982
TX
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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