NPI 1013631274

Hanna a Mekonnen, PHARMACIST

Practitioner Pharmacist North Las Vegas, NV

Practice location

Address: 4755 W Ann Rd, North Las Vegas, NV 89031-3424
Phone: (702) 645-1360
Fax: (702) 396-8514
Mailing address: 9883 Mount Madera St, Las Vegas, NV 89178-7518

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 22895 (NV)

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Registry record

NPI: 1013631274
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2022
Record last updated: 30 Sep 2022

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.