Individual provider · Type 1 NPI

Fantahun Yimam, PharmD

Nutrition Support Pharmacist · Lubbock, TX

NPI number 1962534420 Active

Practice location

3615 19th St
Lubbock, TX 79410-1203

Call (806) 725-0419 Map

Fax (806) 725-0305

Mailing address

4605 102nd St
Lubbock, TX 79424-7406

Specialties and licenses

TaxonomyCodeLicense
Nutrition Support Pharmacist Primary 1835N1003X36401 (TX)

Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

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About NPI 1962534420

Fantahun Yimam, PharmD's National Provider Identifier is 1962534420, issued on Mar 11, 2007. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Lubbock, TX. The record was last updated on Jul 8, 2007.