Individual
AUGUSTINE OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5415 S BROADWAY AVE, TYLER, TX 75703-1397
(903) 939-9298
Mailing address
5415 S BROADWAY AVE, TYLER, TX 75703-1397
(903) 939-9298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57565
TX
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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