NPI 1003414491

Jibat Bekele Degu

Practitioner Pharmacist Minneapolis, MN

Practice location

Address: 1200 Shingle Creek Crossing, Minneapolis, MN 55430
Phone: (763) 354-1948
Fax: (763) 354-1942
Mailing address: 1200 Shingle Creek Xing, Brooklyn Center, MN 55430-2835

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 122152 (MN)

Other Pharmacist providers in Minnesota →

Registry record

NPI: 1003414491
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2020
Record last updated: 16 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.