Individual
DR. ANTHONIA OGBANUFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6266 S CONGRESS AVE, LAKE WORTH, FL 33462-2375
(786) 306-8898
Mailing address
6266 CONGRESS AVE, LAKE WORTH, FL 33462-2375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43412
FL
Other
Enumeration date
03/25/2010
Last updated
01/28/2011
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