Individual
DR. SAMUEL TIFANG FOBID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N MAIN ST, NICHOLASVILLE, KY 40356-2309
(859) 881-8203
Mailing address
425 S HUBBARDS LN APT 400, LOUISVILLE, KY 40207-4096
(502) 835-9114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021054
KY
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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