| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EYERUSALEM LEULSEGED HAILE | 1124859236 | 2024-08-10 |
Eyerusalem Leulseged Haile is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124859236. Registration indicates Eyerusalem Leulseged Haile is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Eyerusalem Leulseged Haile PHARM.D. |
| Practice Office Address | 2969 N DRUID HILLS RD NE ATLANTA, GA US |
| Practice Office Telephone | 4046386252 |
| Mailing Address | 4604 THOMAS JEFFERSON CT STONE MOUNTAIN, GA 300834354 US |
| Business Telephone | 4045131440 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | RPH035072
GA |