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1164020418
ENGRIDA SAMSON MEBRAHTU
BRONX, NY
NPI
1164020418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: NY 067119)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
Dr. ENGRIDA SAMSON MEBRAHTU
1607 WILLIAMSBRIDGE RD
BRONX, NY 10461-6201
Phone number: 347-691-3922
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Mailing Address
Dr. ENGRIDA SAMSON MEBRAHTU
270 RIVERSIDE DR APT 11B
NEW YORK, NY 10025-5221
Phone number: 347-886-8352
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