Individual
CHISOM EKWONNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4517 N MIDLAND DR, MIDLAND, TX 79707-3325
(432) 697-2299
Mailing address
5850 GULFTON ST, 1862, HOUSTON, TX 77081-2597
(832) 466-8406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56264
TX
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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