Individual
DANIEL Y TEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9101 ALBEMARLE RD, CHARLOTTE, NC 28227-2621
(704) 532-2876
Mailing address
701 ALLISTER DR, CHARLOTTE, NC 28227-1260
(704) 231-3469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19498
NC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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