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Individual

JOHN E MBUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
3851 ROGER BROOKE DR, DEPARTMENT OF PHARMACY, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2612
(210) 916-2535
Mailing address
1947 LARKSPUR, #1408, SAN ANTONIO, TX 78213-4956
(210) 979-8506
(210) 916-2535

Taxonomy

Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
16555
MD
1835X0200X
Oncology Pharmacist
Primary
2001019310
MO

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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