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Individual
WONDWOSSEN ZEWDE TEKA
Active
Individual
WONDWOSSEN ZEWDE TEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33984804
SPECIALITY
TX
01
—
49162
SPECIALITY PHARMACY
TX
Enumeration date
11/09/2017
Last updated
11/09/2017
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