Individual
HELMOND LOBGA GWANYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
8317 NW 105TH TER, OKLAHOMA CITY, OK 73162-4028
(405) 476-4622
Mailing address
8317 NW 105TH TER, OKLAHOMA CITY, OK 73162-4028
(405) 476-4622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20079
OK
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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