Individual
MR. AUGUSTINE FELLA AWORUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM
Contact information
Practice address
1020 STATE ROUTE 89 NORTH, CHINO VALLEY, AZ 86323
(928) 636-2984
Mailing address
1020 STATE ROUTE 89N, CHINO VALLEY, AZ 86323
(928) 636-2986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019064
AZ
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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