Individual
KIBROM MAHRAY WORESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
HWY 169 MM 29, ALAMO, NM 87825-8782
(571) 275-3064
Mailing address
PO BOX 1504, ALAMO, NM 87825-1504
(571) 275-3064
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202210904
VA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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