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DR. KOFFI MOKPOKPO AMOUSSOU PHARMACIST
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1215544747
Individual Registrant:DR. KOFFI MOKPOKPO AMOUSSOU PHARMACIST
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
800 QUINTARD AVE ANNISTON, AL 36201-5760 US
Tel: 256-237-6147 Fax: --
Tel: 256-237-6147 Fax: --
Contact information for business:
800 QUINTARD AVE ANNISTON, AL 36201-5760 US
Tel: 256-237-6147 Fax: --
Tel: 256-237-6147 Fax: --
Registration Information:
NPI: 1215544747
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AL | 21540 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
