Dr. Engrida Samson Mebrahtu
Pharmacy, Community/Retail Pharmacy in Bronx, NY. Individual provider (NPI-1).
NPI number1164020418
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1164020418
- Entity type
- Individual (NPI-1)
- Name
- Dr. Engrida Samson Mebrahtu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2020
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 067119 | NY | Yes |
Practice location
1607 Williamsbridge RdBronx, NY 10461-6201
Phone 347-691-3922 · Fax 347-691-3923
Mailing address
270 Riverside Dr Apt 11bNew York, NY 10025-5221
Phone 347-886-8352
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