Yimam, Fantahun

Yimam, Fantahun is an individual health care provider with primary practice located at 3615 19Th St , Lubbock TX 79410-1203. He recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as his primary health care specialty. Yimam, Fantahun can be contacted via phone (806) 725-0419.

Contact Information

Primary practice address
3615 19Th St Lubbock TX 79410-1203
Phone: (806) 725-0419
Fax: (806) 725-0305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X 36401 Texas

Profile Details

NPI number 1962534420
LBN Legal business name Yimam, Fantahun
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers