Most Relevant Information
Provider Data
| NPI Number: | 1003294034 |
| Provider Name: | ABIY ASFAW |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PST. 021007 |
Most Important Dates
| Enumeration Date: | 05/11/2015 |
| Last Updated: | 05/11/2015 |
Provider Practice Location
54450 PROVINE PL
ALEXANDRIA
LA
71303
Practice Location Phone/Fax
| Phone: | 2079078449 |
| Fax: |
Provider Mailing Location
5445 PROVINE PL
103
ALEXANDRIA
LA
713033700
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |