Most Relevant Information
Provider Data
| NPI Number: | 1003282013 |
| Provider Name: | HAIMANOT KIFLE KASSAHUN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 25512 |
Most Important Dates
| Enumeration Date: | 08/12/2015 |
| Last Updated: | 08/12/2015 |
Provider Practice Location
1510 SARDIS RD N
CHARLOTTE
NC
282701408
Practice Location Phone/Fax
| Phone: | 7047085861 |
| Fax: |
Provider Mailing Location
1510 SARDIS RD N
CHARLOTTE
NC
282701408
Provider Mailing Phone/Fax
| Phone: | 7047085861 |
| Fax: |