Individual
MRS. IFEOMA M AKUMUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC
Contact information
Practice address
159 S BROAD ST, WOODBURY, NJ 08096-2410
(856) 845-1173
Mailing address
5 MARINER DR, SEWELL, NJ 08080-1918
(856) 582-0368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02770300
NJ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
28RI02770300
NJ
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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