Tesfay M Gebrekidan

NPI #1396357547 in Bloomington, Illinois

Provider Information

NPI Number: 1396357547
Entity Type: Individual
Name: Tesfay M Gebrekidan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 19, 2020
Last Updated: Aug 19, 2020

Practice Location

Address: 1525 N VETERANS PKWY
City: Bloomington
State: Illinois
ZIP Code: 61704-0904
Phone: (309) 661-8613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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