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Dereje M Gemeda

Pharmacist in Fridley, MN. Individual provider (NPI-1).

NPI number1346853785
StatusActive
Last updated in NPPESAug 25, 2020

Details

NPI
1346853785
Entity type
Individual (NPI-1)
Name
Dereje M Gemeda
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2020
Certification date
Aug 25, 2020
Last updated
Aug 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist121702MNYes

Practice location

6525 University Ave Ne
Fridley, MN 55432-4331

Phone 763-586-0730

Mailing address

6525 University Ave Ne
Fridley, MN 55432-4331

Phone 763-586-0730

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