Individual
OBIAGELI ONYESOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
926 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5966
(575) 758-2743
Mailing address
1335 PASEO DEL PUEBLO SUR, PMB 143, TAOS, NM 87571-5972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44089
TX
183500000X
Pharmacist
Primary
RP00010349
NM
1835G0303X
Geriatric Pharmacist
44089
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
44089
TX
Other
Enumeration date
07/20/2020
Last updated
06/18/2026
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