Individual
EMMANUEL OSHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1806 TENDRIL AVE, WAXHAW, NC 28173-0269
(757) 735-2255
Mailing address
1806 TENDRIL AVE, WAXHAW, NC 28173-0269
(757) 735-2255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28459
NC
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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