Individual
OLISAELOKA TABUGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3396 N STOCKTON HILL RD, KINGMAN, AZ 86409-3648
(928) 692-0444
Mailing address
3396 N STOCKTON HILL RD, KINGMAN, AZ 86409-3648
(928) 692-0444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021659
AZ
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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