Provider Demographics
NPI:1316469166
Name:MUHE, ASFAW (PHARMD)
Entity type:Individual
Prefix:
First Name:ASFAW
Middle Name:
Last Name:MUHE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N 48TH ST APT 1083
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-5969
Mailing Address - Country:US
Mailing Address - Phone:202-766-7358
Mailing Address - Fax:
Practice Address - Street 1:2420 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-7031
Practice Address - Country:US
Practice Address - Phone:602-286-7232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist