Individual
BENJAMIN C MUOGHALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WILMOT RD, DEERFIELD, IL 60015-4620
(847) 315-2500
Mailing address
3300 BROWN RD, SAINT LOUIS, MO 63114-4328
(630) 854-2067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019047126
MO
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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