Teklu Bahta
Pharmacist in Edina, MN. Individual provider (NPI-1).
NPI number1104285097
StatusActive
Last updated in NPPESFeb 19, 2016
Details
- NPI
- 1104285097
- Entity type
- Individual (NPI-1)
- Name
- Teklu Bahta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2016
- Last updated
- Feb 19, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 122626 | MN | Yes |
Practice location
6975 York Ave SEdina, MN 55435-2517
Phone 952-920-3561
Mailing address
6975 York Ave SEdina, MN 55435-2517
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 62 Pharmacist providers in Edina · All 4,659 providers in Edina
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