NPI 1154921518

Tim Gebreyes

Practitioner Pharmacist Huntington, IN

Practice location

Address: 2800 Wal Mart Dr, Huntington, IN 46750-7977
Phone: (260) 358-8610
Mailing address: 432 Hillside Ave, Roanoke, IN 46783-8863

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26025515A (IN)

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Registry record

NPI: 1154921518
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2020
Record last updated: 27 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.