Individual
COOVI HOUNGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
11320 MONTWOOD DR, EL PASO, TX 79936-4383
(915) 855-9772
Mailing address
11320 MONTWOOD DR, EL PASO, TX 79936-4383
(915) 855-9772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008886
NM
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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