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Kidu G Tesfamichael
Pharmacist in Port Lavaca, Texas
NPI 1518567528

Kidu G Tesfamichael is a Pharmacist based in Port Lavaca, TX. Kidu G Tesfamichael practices in Port Lavaca, TX. The NPI Number for Kidu G Tesfamichael is 1518567528 and holds a License No. 55723 (Texas).

The current practice location address for Kidu G Tesfamichael is 400 Tiney Browning Blvd, Port Lavaca, TX and can be reached out via phone at 361-552-3525 and via fax at 361-552-9616.

Location: 400 Tiney Browning Blvd, Port Lavaca, TX, 77979-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518567528
Provider Name
Kidu G Tesfamichael
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Tiney Browning Blvd, Port Lavaca, TX, 77979-2425
Phone Number
361-552-3525
Fax Number
361-552-9616
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Tiney Browning Blvd
City
Port Lavaca
State
Texas
Zip
77979-5215
Phone Number
361-552-3525
Fax Number
361-552-9616
person
Provider Business Mailing Address Details
Address
400 Tiney Browning Blvd
City
Port Lavaca
State
Texas
Zip
77979-5215
Phone Number
361-552-3525
Fax Number
361-552-9616
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
55723 (Texas)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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