Individual
EDEN TEKLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3045 BROADWAY BLVD, GARLAND, TX 75041-3733
(972) 864-1608
Mailing address
3045 BROADWAY BLVD, GARLAND, TX 75041-3733
(972) 864-1608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20827864
TX
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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