Individual
SEWLANCHI DEMEKE TEKLE-WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E DUPONT RD, FORT WAYNE, IN 46825-2051
(260) 490-3447
(260) 490-3457
Mailing address
425 E DUPONT RD, FORT WAYNE, IN 46825-2051
(260) 490-3447
(260) 490-3457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029160A
IN
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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