Individual
AMANZE MARACHI ASOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 ANDREWS HWY, MIDLAND, TX 79701-6331
(432) 682-8211
Mailing address
215 ANDREWS HWY, MIDLAND, TX 79701-6331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACY
TX
Enumeration date
11/05/2010
Last updated
11/05/2010
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