Individual
MODESTA UGOCHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
224 W D L INGRAM AVE, BLDG. 1408, CANNON AFB, NM 88103-5103
(575) 784-4053
Mailing address
224 W D L INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71632
TX
Other
Enumeration date
11/09/2022
Last updated
03/22/2024
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