Individual
BIBINA FONJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1151 N HALF HITCH RD, PRESCOTT VALLEY, AZ 86314-1462
(757) 933-0080
Mailing address
1151 N HALF HITCH RD, PRESCOTT VALLEY, AZ 86314-1462
(757) 933-0080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213478
VA
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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