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Individual

PRINCE CHARLES CHIBUIKE MBONU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6851 TEMIE LEE PKWY, MIDLOTHIAN, VA 23112-2087
(804) 639-0439
Mailing address
22000 CABIN BRANCH AVE, CLARKSBURG, MD 20871-3433
(240) 889-7945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221240
VA

Other

Enumeration date
07/21/2023
Last updated
07/21/2023
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