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NPI Code Detail

MEDICARE: MUSIE HAILE

MEDICARE:   MUSIE  HAILE
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
1183500000XPharmacist26029554AIN

General Provider Information

NPI Number : 1134843220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSIE HAILE
Provider Business Mailing Address
First Line : 772 FLYING SUN DR
Second Line :
City : AVON
State : IN
Zip : 46123-9850
Country : US
Telephone Number : 804-878-3971
Fax Number :
Provider Business Practice Location Address
First Line : 8330 CRAWFORDSVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46234-1714
Country : US
Telephone Number : 317-347-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 10/03/2022

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Directions to “ MUSIE HAILE ” Practice Location

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