Most Relevant Information
Provider Data
| NPI Number: | 1003365545 |
| Provider Name: | AMANUEL ADANE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 59451 |
Most Important Dates
| Enumeration Date: | 09/26/2016 |
| Last Updated: | 09/27/2016 |
Provider Practice Location
108 W PARKERVILLE RD
DESOTO
TX
751158074
Practice Location Phone/Fax
| Phone: | 4696435017 |
| Fax: | 4696435014 |
Provider Mailing Location
108 W PARKERVILLE RD
DESOTO
TX
751158074
Provider Mailing Phone/Fax
| Phone: | 2148303587 |
| Fax: |