Individual
TEKLU BAHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6975 YORK AVE S, EDINA, MN 55435-2517
(952) 920-3561
Mailing address
6975 YORK AVE S, EDINA, MN 55435-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122626
MN
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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