Individual
DR. JERRY AGBOR EGBETAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3220
Mailing address
1280 US HIGHWAY 95A N, FERNLEY, NV 89408-7705
(775) 835-6427
(775) 835-6158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61469
TX
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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