Individual
MENGISTEAB NEGUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2 SOUTH BROADWAY, RITEAID PHARMACY, CAMDEN, NJ 08103
(856) 963-9311
(856) 964-1863
Mailing address
421 HEATHERWOOD RD, HAVERTOWN, PA 19083-5544
(610) 449-7133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01829800
NJ
183500000X
Pharmacist
RP034506T
PA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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