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NPI Code Detail

MEDICARE: HAIMANOT ADMASSU RPH

MEDICARE: HAIMANOT ADMASSU RPH
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
1183500000XPharmacistPH00068208WA

General Provider Information

NPI Number : 1295065043
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAIMANOT ADMASSU RPH
Provider Business Mailing Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number : 425-822-9202
Fax Number : 425-822-9407
Provider Business Practice Location Address
First Line : 12405 NE 85TH ST
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8032
Country : US
Telephone Number : 425-822-9202
Fax Number : 425-822-9407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2009
Last Update Date : 12/29/2009

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Directions to “ HAIMANOT ADMASSU RPH” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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