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NPI Code Detail

MEDICARE: DR. BERHANU YOHANNES HANFORE PHARMD

MEDICARE: DR. BERHANU YOHANNES HANFORE PHARMD
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
11835P1300XPsychiatric Pharmacist0202209095VA

General Provider Information

NPI Number : 1255265609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERHANU YOHANNES HANFORE PHARMD
Provider Business Mailing Address
First Line : 85 SANGERS LN
Second Line :
City : STAUNTON
State : VA
Zip : 24401-6712
Country : US
Telephone Number : 267-231-9059
Fax Number : 540-435-1888
Provider Business Practice Location Address
First Line : 85 SANGERS LN
Second Line :
City : STAUNTON
State : VA
Zip : 24401-6712
Country : US
Telephone Number : 267-231-9059
Fax Number : 540-435-1888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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