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Individual

DR. KELECHI VICTOR ETOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, MPH

Contact information

Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(469) 614-4905
Mailing address
3636 STONELEDGE DR APT 1434, TEXARKANA, TX 75503-1156

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
70790
TX

Other

Enumeration date
08/08/2022
Last updated
08/18/2022
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