NPI 1003420720

Beimnet Asmerom Abraha, PHARMD

Practitioner Pharmacist Wauwatosa, WI

Practice location

Address: 2275 N Mayfair Rd, Wauwatosa, WI 53226-2207
Phone: (414) 774-4821
Mailing address: 1405 Rockridge Rd APT 260, Waukesha, WI 53188-2893

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 20401-40 (WI)

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Registry record

NPI: 1003420720
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2020
Record last updated: 1 Sep 2020

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.