Provider Demographics
NPI:1063611242
Name:CHOKELE, MULU M (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MULU
Middle Name:M
Last Name:CHOKELE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9751 LOOKOUT CANYON CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6335
Mailing Address - Country:US
Mailing Address - Phone:702-521-2692
Mailing Address - Fax:702-383-9116
Practice Address - Street 1:150 E HARMON AVE # 203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-4533
Practice Address - Country:US
Practice Address - Phone:702-521-2692
Practice Address - Fax:702-383-9116
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist