Individual
AMBARTSUM MARTIN OGANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
200 E BROADWAY AVE, MOSES LAKE, WA 98837-1718
(509) 765-1217
(509) 765-4410
Mailing address
200 E BROADWAY AVE, MOSES LAKE, WA 98837-1718
(509) 765-1217
(509) 765-4410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60368859
WA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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