Doctor Name: | MR. MOGES K TEKLE |
NPI Number: | 1093989592 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | VA PHARM.D |
License Number: | 0202206386 |
Business Practice Address: | 700 Fettler Park Dumfries Health Center Dumfries, VA - 22025 |
Business Phone Number: | 7034417500 |
Business Fax Number: | |
Mailing Address: | 3700 Fettler Park, Dumfries Health Center DUMFRIES |
State: | VA |
Postal Code: | 22025 |
Phone Number: | 7034417500 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 0202206386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |