Hailemariam, Moussie

Hailemariam, Moussie is an sole proprietor health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hailemariam, Moussie can be contacted via phone (707) 571-4700.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 571-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 60049 California

Profile Details

NPI number 1992991038
LBN Legal business name Hailemariam, Moussie
Credentials PHARM.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2007
Last updated Sep 21st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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