Ekenedirichukwu Agbasi Valid NPI
Individual provider · Pharmacist · Mansfield, TX
- NPI
- 1073119053
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 59546 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-12-07
- Last updated
- 2020-12-07
Practice location
3802 E Broad St
Mansfield, TX 76063-5617
(817) 473-1373