Individual
BIH MOBANOE CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6801 WEST ADAMS AVENUE, TEMPLE, TX 76502
(254) 598-7594
Mailing address
6801 WEST ADAMS AVENUE, TEMPLE, TX 76502
(254) 598-7594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55787
TX
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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