Abebe Fisseha

NPI 1356994933 · on the registry since 2019

Practice

Address: 3849 Northridge Dr
Rockford, IL 61114
Phone: (815) 636-0333
Fax: (815) 636-0149
Organisation at this address: Walmart Inc.
Daniel H Pham, Llc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois