Ekenedirichukwu Agbasi

NPI #1073119053 in Mansfield, Texas

Provider Information

NPI Number: 1073119053
Entity Type: Individual
Name: Ekenedirichukwu Agbasi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 3802 E BROAD ST
City: Mansfield
State: Texas
ZIP Code: 76063-5617
Phone: (817) 473-1373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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