Individual
TEKLE FEREDE HABTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 UNIVERSITY PL, DURANT, OK 74701-7110
(580) 920-1145
Mailing address
615 HAVEN DR, ANNA, TX 75409-0139
(469) 703-5898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21129
OK
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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