Individual
DR. IJEOMA LORRAINE ODIGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
80B VETERANS BLVD, PUEBLO OF ACOMA, NM 87034
(505) 552-5812
(505) 552-5464
Mailing address
PO BOX 278, SAN FIDEL, NM 87049-0278
(301) 752-9505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213884
VA
Other
Enumeration date
08/04/2015
Last updated
02/07/2019
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