Most Relevant Information
Provider Data
| NPI Number: | 1003441361 |
| Provider Name: | BELAYNESH DEJENE FELEKE |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 19999-40 |
Most Important Dates
| Enumeration Date: | 03/06/2020 |
| Last Updated: | 03/06/2020 |
Provider Practice Location
5929 W LISBON AVE
MILWAUKEE
WI
532102267
Practice Location Phone/Fax
| Phone: | 4144429233 |
| Fax: |
Provider Mailing Location
5929 W LISBON AVE
MILWAUKEE
WI
532102267
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |