NPI 1104285097

Teklu Bahta

Practitioner Pharmacist Edina, MN

Practice location

Address: 6975 York Ave S, Edina, MN 55435-2517
Phone: (952) 920-3561

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 122626 (MN)

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Registry record

NPI: 1104285097
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2016
Record last updated: 19 Feb 2016

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.