Organization
EMMANUEL CHUKS OBI
Active
Organization
EMMANUEL CHUKS OBI
Active
Other names
GOOD SHEPARD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OBI (OWNER AND CEO)
(915) 543-3880
Entity
Organization
Contact information
Practice address
5340 EL PASO DR, STE C, EL PASO, TX 79905-2837
(915) 778-9900
(915) 778-9904
Mailing address
5301 ALAMEDA AVE, EL PASO, TX 79905-2805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145256
—
TX
01
—
4573007
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/05/2007
Last updated
06/10/2009
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