Individual
DR. KEBEBUSH TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4230 W MCDOWELL RD, PHOENIX, AZ 85009-2096
(602) 415-5733
Mailing address
345 N 5TH AVE APT 104, PHOENIX, AZ 85003-4503
(651) 243-9186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024740
AZ
Other
Enumeration date
07/30/2020
Last updated
10/09/2020
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