Individual
AGHOGHO FRANCIS ERUOTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4416
(253) 564-2255
(253) 564-0189
Mailing address
3811 78TH AVENUE CT W, APT J303, UNIVERSITY PLACE, WA 98466-3259
(780) 200-8650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60643359
WA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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