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Individual

MR. CHIGOZIE GILBERT OGUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11140 LA QUINTA PL STE 101, EL PASO, TX 79936-5227
(915) 593-0603
(915) 593-3378
Mailing address
11140 LA QUINTA PL STE 101, EL PASO, TX 79936-5227
(915) 593-0603
(915) 593-3378

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28440
TX
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149185
TX
01
166165402
MEDICARE
TX
01
22619
PHARMACY
TX
Enumeration date
07/13/2006
Last updated
06/21/2022
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