Individual
MISS ELSA MARILYN TCHOMGANG TCHAKOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
15514 W WADDELL RD, PHARMACY, SURPRISE, AZ 85379-5167
(623) 215-0544
Mailing address
15514 W WADDELL RD, PHARMACY, SURPRISE, AZ 85379-5167
(623) 215-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019891
AZ
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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