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NPI Code Detail

MEDICARE: DR. MULU M CHOKELE PHARM D

MEDICARE: DR. MULU M CHOKELE PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15477NV

General Provider Information

NPI Number : 1063611242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MULU M CHOKELE PHARM D
Provider Business Mailing Address
First Line : 9751 LOOKOUT CANYON CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-6335
Country : US
Telephone Number : 702-521-2692
Fax Number : 702-383-9116
Provider Business Practice Location Address
First Line : 150 E HARMON AVE # 203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4533
Country : US
Telephone Number : 702-521-2692
Fax Number : 702-383-9116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 07/17/2007

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Directions to “ DR. MULU M CHOKELE PHARM D” Practice Location

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