Individual
MOHAMMED WOYESSO TESHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
629 HIGHWAY 20 N, HINES, OR 97738-9435
(541) 573-1523
Mailing address
460 NE BELLEVUE DR APT 209, BEND, OR 97701-7429
(612) 501-0756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
124528
MN
183500000X
Pharmacist
Primary
RPH-0017859
OR
183500000X
Pharmacist
RPH6166
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124528
MINNESOTA STATE BOARD OF PHARMACY
MN
01
—
RPH-0017859
OREGON STATE BOARD OF PHARMACY
OR
01
—
RPH6166
NORTH DAKOTA STATE BOARD OF PHARMACY
ND
Enumeration date
03/10/2021
Last updated
03/10/2021
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