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EVELYN OMOZUSI ABHULIMEN DR

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1366044299

Individual Registrant:
 EVELYN OMOZUSI ABHULIMEN DR
Gender: F
Sole Proprietor

Location and contact information for practice:
133 ARKANSAS BLVD  TEXARKANA, AR 71854-1963 US
Tel: 870-773-7872  Fax: --

Contact information for business:
29 TULIP DR  TEXARKANA, TX 75503-2257 US
Tel: 501-246-0394  Fax: --

Registration Information:
NPI: 1366044299
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD11406

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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