Individual
ALAERE IKEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LAKE RD, BELTON, TX 76513-1510
(254) 939-5628
Mailing address
100 LAKE RD, BELTON, TX 76513-1510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50289
TX
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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