Individual
FISTUME MULATU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3011 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Mailing address
3011 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009274
NM
Other
Enumeration date
09/13/2016
Last updated
10/02/2021
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