Individual
ABIY TEKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6821 W HILLSBOROUGH AVE, SUITE 6, TAMPA, FL 33634-5003
(813) 559-1010
(813) 559-1200
Mailing address
6821 W HILLSBOROUGH AVE, SUITE 6, TAMPA, FL 33634-5003
(813) 559-1010
(813) 559-1200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS48913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS48913
PHARMACIST STATE LICENSE
FL
Enumeration date
06/17/2014
Last updated
09/15/2016
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