Individual provider · Type 1 NPI

Bruk Tesfaye

Pharmacist · Mount Dora, FL

NPI number 1407451990 Active

Practice location

17021 US Highway 441
Mount Dora, FL 32757-6734

Call (352) 357-6904 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X48626 (FL)

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…

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About NPI 1407451990

Bruk Tesfaye's National Provider Identifier is 1407451990, issued on Dec 2, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mount Dora, FL. The record was last updated on Dec 2, 2020.