Individual
ASRESU HAILE MEKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
19550 PINES BLVD, PEMBROKE PINES, FL 33029-1308
(954) 885-6264
(954) 885-6458
Mailing address
19550 PINES BLVD, PEMBROKE PINES, FL 33029-1308
(954) 885-6264
(954) 885-6458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS37289
FL
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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