Individual provider · NPI-1

Berook Addisu, Pharm.D.

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Nashville, TN

NPI number1730474057
StatusActive
Last updated in NPPESJun 15, 2011

Details

NPI
1730474057
Entity type
Individual (NPI-1)
Name
Mr. Berook Addisu
Credential
Pharm.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2011
Last updated
Jun 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1590740WIYes

Practice location

1310 24th Ave S
Nashville, TN 37212-2637

Phone 262-751-6167

Mailing address

420 Elmington Ave Apt 1412
Nashville, TN 37205-2580

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