Individual
CHIEMEKA JERRY ENYIDEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10780 KENWORTHY ST, EL PASO, TX 79924-1754
(915) 821-2698
Mailing address
10780 KENWORTHY ST, EL PASO, TX 79924-1754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70096
TX
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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