FANTAHUN YIMAM

LUBBOCK, TX
NPI1962534420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835N1003X Pharmacist, Nutrition Support
(Licence: TX  36401)
Enumeration Date2007-03-11
Last Update Date2007-07-08
Business Address
Dr. FANTAHUN YIMAM Pharm.D.
3615 19TH ST
LUBBOCK, TX 79410-1203
Phone number: 806-725-0419
Mailing Address
Dr. FANTAHUN YIMAM Pharm.D.
4605 102ND ST
LUBBOCK, TX 79424-7406
Phone number: 806-798-2291