Individual
AZUKA IBEANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N VELASCO ST, ANGLETON, TX 77515-3014
(979) 849-3028
Mailing address
1801 N VELASCO ST, ANGLETON, TX 77515-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45420
TX
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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