Individual
MRS. ASSELEFETCH SHENKUTIE TIRFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6600 W STATE ST, WAUWATOSA, WI 53213-2836
(414) 476-5585
Mailing address
3241 N MENOMONEE RIVER PKWY, WAUWATOSA, WI 53222-3313
(414) 771-9048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13196-040
WI
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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