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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIDU G TESFAMICHAEL

Active Sole Proprietor

KIDU G TESFAMICHAEL is a Pharmacist healthcare provider located in PORT LAVACA, Texas. NPI 1518567528 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PORT LAVACA, TX

Registration Details

NPI Number
1518567528
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2020 (5.775664643469 yrs)
Last Updated
Oct 28, 2020
License
55723 (TX)
Sole Proprietor
Yes

Practice Information

Address
400 TINEY BROWNING BLVD
PORT LAVACA, TX, 779795215
Browse TX providers · Browse ZIP 77979
Phone
3615523525
Fax
3615529616
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PORT LAVACA, TX

Name Credential NPI
MABEL ALLENE HUNT RPH 1245392844
STEPHEN A BRANCH RPH 1316105026
DR. NGALE NDIVA MONGOH PHARM.D 1003054057
MR. PHILLIP YOO PHARM. D 1386921393
OLIVE EDWINA BOTOR PHARMD 1376882167
DR. JULIE FRANKSON PHARM.D 1932440112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.