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Individual

BETTY ACHIENG AJUOGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
1201 S MAIN ST, BOERNE, TX 78006-2833
(830) 357-5052
Mailing address
635 SAGE THRASHER, SAN ANTONIO, TX 78253-4589
(682) 241-3702

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61424
TX

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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