Individual
MR. ANTHONY IKEM OGBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1520 PIONEER RD, MESQUITE, TX 75149-6033
(972) 288-8287
(972) 288-0839
Mailing address
1520 PIONEER RD, MESQUITE, TX 75149-6033
(972) 288-8287
(972) 288-0839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46021
TX
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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