Yishake Mekonnen Valid NPI
Individual provider · Pharmacist · Coalinga, CA
- NPI
- 1275948390
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 70118 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-06-26
- Last updated
- 2014-06-26
Practice location
159 W Polk St
Coalinga, CA 93210-2302
(559) 935-3597