Most Relevant Information
Provider Data
| NPI Number: | 1003447756 |
| Provider Name: | HIWOT DINKALE DR |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 57544 |
Most Important Dates
| Enumeration Date: | 01/31/2020 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
604 N WELLS ST
EDNA
TX
779572719
Practice Location Phone/Fax
| Phone: | 8322749883 |
| Fax: |
Provider Mailing Location
604 N WELLS ST
EDNA
TX
779572719
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |