Provider Demographics
NPI:1871900043
Name:BEKELE, ABRAHAM MEKONNEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:MEKONNEN
Last Name:BEKELE
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 1:8560 S HULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-2741
Mailing Address - Country:US
Mailing Address - Phone:817-292-0048
Mailing Address - Fax:817-292-7593
Practice Address - Street 1:8560 S HULEN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2741
Practice Address - Country:US
Practice Address - Phone:817-292-0048
Practice Address - Fax:817-292-7593
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY017264183500000X
TX64700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist