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: |