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Individual

MR. CHUKWUMA UTAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 MUIRFIELD DR, BLUE BELL, PA 19422-1293
(610) 909-0318
(610) 272-2832
Mailing address
120 MUIRFIELD DR, BLUE BELL, PA 19422-1293

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP033772L
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A1-0002933
DE
1835P1200X
Pharmacotherapy Pharmacist
RP033772L
PA

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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