Individual
CHARLES KWOKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 BUSINESS PARK BLVD, KENEDY, TX 78119-2026
(830) 583-9832
Mailing address
200 BUSINESS PARK BLVD, KENEDY, TX 78119-2026
(830) 583-9832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57397
TX
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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