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DR. KOFFI MOKPOKPO AMOUSSOU PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1215544747

Individual Registrant:
DR. KOFFI MOKPOKPO AMOUSSOU PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
800 QUINTARD AVE  ANNISTON, AL 36201-5760 US
Tel: 256-237-6147  Fax: --

Contact information for business:
800 QUINTARD AVE  ANNISTON, AL 36201-5760 US
Tel: 256-237-6147  Fax: --

Registration Information:
NPI: 1215544747
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL21540

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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