Dr. Fantahun Yimam
Nutrition Support
3615 19th St, Lubbock
Texas, 79410-1203
806-725-0419 806-725-0305
Dr. Fantahun Yimam is a pharmacist who is specialized in Nutrition Support in Lubbock, Texas. Patients can reach him at 3615 19th St, Lubbock or contact him on 806-725-0419. Active license number of Dr. Fantahun Yimam is 36401 for Nutrition Support in Texas.
Dr. Fantahun Yimam is 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.
Complete Profile:
Dr. Fantahun Yimam speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Fantahun Yimam |
| Specialization: | Nutrition Support |
| Credentials: | PHARM.D. |
| Gender: | Male |
| Location: | 3615 19th St, Lubbock,
Texas, 79410-1203 |
| Phone: | 806-725-0419 |
| Fax: | 806-725-0305 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Fantahun Yimam are as mentioned below.
| NPI Number: | 1962534420 |
| NPI Enumeration Date: | 11 Mar, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fantahun Yimam are as mentioned below.
| Specialization | License Number | State | Status | |
| Nutrition Support | 36401 | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4605 102nd St,
Lubbock, Texas |
| Zip: | 79424-7406 |
| Phone Number: | 806-798-2291 |
| Fax Number: | 806-725-0305 |
Patients can reach Dr. Fantahun Yimam at
3615 19th St, Lubbock, Texas or can
call on phone at 806-725-0419.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.