ABIY ASFAW

ALEXANDRIA, LA
NPI1003294034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  PST. 021007)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- ABIY ASFAW
54450 PROVINE PL
ALEXANDRIA, LA 71303
Phone number: 207-907-8449
Mailing Address
-- ABIY ASFAW
5445 PROVINE PL 103
ALEXANDRIA, LA 71303-3700
Phone number: