Individual
DR. KINGSLEY ENOHEBOB ENONJANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1144 TOMMYS RD, GOLDSBORO, NC 27534-7978
(919) 988-6038
(919) 988-6039
Mailing address
8004 MATINVESI ST, RALEIGH, NC 27616-8497
(832) 264-9916
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
22999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22999
PHARMACIST LICENSE NUMBER
NC
Enumeration date
02/16/2017
Last updated
02/16/2017
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