Most Relevant Information
Provider Data
| NPI Number: | 1003414491 |
| Provider Name: | JIBAT BEKELE DEGU |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 122152 |
Most Important Dates
| Enumeration Date: | 10/16/2020 |
| Last Updated: | 10/16/2020 |
Provider Practice Location
1200 SHINGLE CREEK CROSSING
MINNEAPOLIS
MN
55430
Practice Location Phone/Fax
| Phone: | 7633541948 |
| Fax: | 7633541942 |
Provider Mailing Location
1200 SHINGLE CREEK XING
BROOKLYN CENTER
MN
554302835
Provider Mailing Phone/Fax
| Phone: | 6129876344 |
| Fax: |