Individual
HUMPHREY TAYONG TEKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2503 W 28TH AVE, PINE BLUFF, AR 71603-5053
(879) 870-6084
Mailing address
119 LAMARCHE PLACE, LITTLE ROCK, AR 72223
(612) 598-3940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13863
AR
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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