KEFALE TESHOME BOGALE

MINNEAPOLIS, MN
NPI1134405186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  119602)
Enumeration Date2011-10-21
Last Update Date2011-10-21
Business Address
-- KEFALE TESHOME BOGALE rph
3207 E LAKE ST
MINNEAPOLIS, MN 55406-2029
Phone number: 612-721-4868
Mailing Address
-- KEFALE TESHOME BOGALE rph
3791 GREENSBORO CT
EAGAN, MN 55123-1298
Phone number: 651-452-1876