Individual
AZUKA GINIGEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3605 COLLEGE STREET, WALGREENS PHARMACY, BEAUMONT, TX 77701
(409) 832-7374
Mailing address
520 DOWLEN RD, APT 93, BEAUMONT, TX 77706-6080
(469) 667-6932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55878
TX
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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