Individual
CHIYAH BOMA NGEHNEVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1754 W LOOP 281, LONGVIEW, TX 75604-2733
(903) 759-3816
Mailing address
604 S PARK ST, LONGVIEW, TX 75601-7707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73386
TX
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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