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Individual

DR. COLLINS U AIGBOGUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3001 FAYETTEVILLE RD, LUMBERTON, NC 28358-2781
(910) 739-7511
Mailing address
608 E 5TH ST, SUITE 001, LUMBERTON, NC 28358-5593

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
21848
IA
183500000X
Pharmacist
Primary
22214
NC

Other

Enumeration date
03/29/2013
Last updated
03/29/2013
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