Individual
CHARLES MARCUS TADEMY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2610 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-2911
(612) 789-6251
Mailing address
1180 TYLER ST NE APT 500, MINNEAPOLIS, MN 55413-1595
(701) 390-8065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126566
MN
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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