Individual
HENOKE TEKESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N STATE RD, FLORA, IL 62839-1093
(618) 662-4767
Mailing address
329 W 3RD ST, FLORA, IL 62839-1205
(773) 440-2357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304742
IL
183500000X
Pharmacist
26030061A
IN
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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