Individual
DR. KOFFI MOKPOKPO AMOUSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
800 QUINTARD AVE, ANNISTON, AL 36201-5760
(256) 237-6147
Mailing address
800 QUINTARD AVE, ANNISTON, AL 36201-5760
(256) 237-6147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21540
AL
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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