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DR. BAKOW ENAW

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1811375165

Individual Registrant:
DR. BAKOW  ENAW 
Gender: F
Sole Proprietor

Location and contact information for practice:
HWY-163 BUILDING KA  KAYENTA, AZ 86033 US
Tel: 928-697-4165  Fax: --

Contact information for business:
PO BOX 368  KAYENTA, AZ 86033-0368 US
Tel: 928-697-4165  Fax: --

Registration Information:
NPI: 1811375165
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MD18560

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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