Individual
DR. CHIDI MASCOT IGOLLO-OGELE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 962-8991
Mailing address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 962-8991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44138
SC
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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