Provider Demographics
NPI:1538550934
Name:ZEMENE, TEKLHIMANOT ALAMREW (RPH)
Entity type:Individual
Prefix:
First Name:TEKLHIMANOT
Middle Name:ALAMREW
Last Name:ZEMENE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 MT HOLLY HUNTERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-9396
Mailing Address - Country:US
Mailing Address - Phone:704-391-0354
Mailing Address - Fax:704-395-2453
Practice Address - Street 1:2924 MT HOLLY HUNTERSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-9396
Practice Address - Country:US
Practice Address - Phone:704-391-0354
Practice Address - Fax:704-395-2453
Is Sole Proprietor?:No
Enumeration Date:2015-02-07
Last Update Date:2015-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist