(800) 868-1923

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: