Individual
DR. USORO EMMANUEL UDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
590 MEDICAL CENTER ROAD, FT CAVAZOS, TX 76544
(254) 287-0771
Mailing address
601 TULE CANYON DRIVE, TEMPLE, TX 76502
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NM
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
RP00008823
NM
Other
Enumeration date
09/08/2017
Last updated
09/25/2024
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