Individual
TEWODROS GEMEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4880 CENTRAL AVE NE, HILLTOP, MN 55421-2630
(763) 571-7195
Mailing address
4880 CENTRAL AVE NE, HILLTOP, MN 55421-2630
(763) 571-7195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118646
MN
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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