Individual
JULIUS MBONI TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
207 N FAYETTEVILLE ST, ASHEBORO, NC 27203-5529
(336) 633-7611
(336) 633-7608
Mailing address
8412 RIVER WALK CT, WAXHAW, NC 28173-6941
(704) 256-9067
(336) 633-7608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
178317863
CT
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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