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Individual
DR. COLLINS O ODUKOGBE
Active
Individual
DR. COLLINS O ODUKOGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12442
STATE
SC
01
—
20070
STATE LICENSE
NC
01
—
RP443290
STATE
PA
Enumeration date
08/18/2011
Last updated
08/18/2011
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