Individual
AMOS BANGUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S 5TH ST, WACO, TX 76706-1110
(254) 296-0175
Mailing address
820 S 5TH ST, WACO, TX 76706-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41828
TX
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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