Derick T Atabong, PHARMD Valid NPI
Individual provider · Pharmacist · Texarkana, TX
- NPI
- 1518663483
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 64658 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
Practice location
4000 New Boston Rd
Texarkana, TX 75501-2819
(903) 831-3023