Most Relevant Information
Provider Data
| NPI Number: | 1003420720 |
| Provider Name: | BEIMNET ASMEROM ABRAHA PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 20401-40 |
Most Important Dates
| Enumeration Date: | 09/01/2020 |
| Last Updated: | 09/01/2020 |
Provider Practice Location
2275 N MAYFAIR RD
WAUWATOSA
WI
532262207
Practice Location Phone/Fax
| Phone: | 4147744821 |
| Fax: |
Provider Mailing Location
1405 ROCKRIDGE RD APT 260
WAUKESHA
WI
531882893
Provider Mailing Phone/Fax
| Phone: | 4088079157 |
| Fax: |