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

Kidu G Tesfamichael

Individual provider Pharmacist · NPI 1518567528

Kidu G Tesfamichael is a Pharmacist in Port Lavaca, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

400 Tiney Browning Blvd
Port Lavaca, TX 77979-5215
Phone: (361) 552-3525
Fax: (361) 552-9616
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 55723 (TX)

Record details

NPI number1518567528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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