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1508123431
AZUH NDIKUM
SAN ANTONIO, TX
NPI
1508123431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 61384)
Enumeration Date
2012-04-17
Last Update Date
2024-01-07
Business Address
AZUH NDIKUM Rph
12835 POTRANCO RD
SAN ANTONIO, TX 78253-6772
Phone number: 210-679-0250
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Mailing Address
AZUH NDIKUM Rph
1414 PITCHER BND
SAN ANTONIO, TX 78253-4235
Phone number: 240-706-0643
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