Individual provider · Type 1 NPI

Fasil Demere Tsehayu

Pharmacist · Ardmore, OK

NPI number 1023735024 Active

Practice location

1220 N Commerce St
Ardmore, OK 73401-1806

Mailing address

3744 W Buckingham Rd Apt 171
Garland, TX 75042-4723

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X63375 (TX)
Pharmacist Primary 183500000X18451 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1023735024

Fasil Demere Tsehayu's National Provider Identifier is 1023735024, issued on Oct 21, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ardmore, OK. The record was last updated on Oct 21, 2022.