Individual
ASONGTIA TAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4415 N STATE LINE AVE, TEXARKANA, TX 75503-3138
(903) 792-8918
Mailing address
4415 N STATE LINE AVE, TEXARKANA, TX 75503-3138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12710
AR
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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