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NPI Code Detail

MEDICARE: TEWODROS WUDE

MEDICARE: TEWODROS WUDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19624CO
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPHA.0019624CO

General Provider Information

NPI Number : 1366877193
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEWODROS WUDE
Provider Business Mailing Address
First Line : 8031 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-1645
Country : US
Telephone Number : 303-420-1377
Fax Number : 303-431-5313
Provider Business Practice Location Address
First Line : 2810 QUEBEC ST
Second Line :
City : DENVER
State : CO
Zip : 80207-2900
Country : US
Telephone Number : 303-333-3837
Fax Number : 303-333-8029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 06/03/2026

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Directions to “ TEWODROS WUDE ” Practice Location

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