ABEBE FISSEHA

ROCKFORD, IL
NPI1356994933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051292525)
Enumeration Date2019-07-22
Last Update Date2019-07-22
Business Address
ABEBE FISSEHA
3849 NORTHRIDGE DR
ROCKFORD, IL 61114-4773
Phone number: 815-636-0333
Mailing Address
ABEBE FISSEHA
3849 NORTHRIDGE DR
ROCKFORD, IL 61114-4773
Phone number: 815-505-2943