NPI 1003294034

Abiy Asfaw

Practitioner Pharmacist Alexandria, LA

Practice location

Address: 54450 Provine Pl, Alexandria, LA 71303
Phone: (207) 907-8449
Mailing address: 5445 Provine Pl 103, Alexandria, LA 71303-3700

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PST. 021007 (LA)

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Registry record

NPI: 1003294034
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2015
Record last updated: 11 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.