Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fasil Demere Tsehayu

Individual provider Pharmacist · NPI 1023735024

Fasil Demere Tsehayu is a Pharmacist in Ardmore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1220 N Commerce St
Ardmore, OK 73401-1806
Phone: (580) 223-1041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18451 (OK)
Pharmacist Taxonomy 183500000X · Licence 63375 (TX)

Record details

NPI number1023735024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 21, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 20, 2022

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