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Individual

IKE C EGBUCHUNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14211 COIT RD STE 1, DALLAS, TX 75254-2862
(972) 807-2527
Mailing address
14211 COIT RD STE 1, DALLAS, TX 75254-2862
(972) 807-2527

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
11/02/2021
Last updated
01/11/2023
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