DR. Fombin Lateh Fongu, PHARMD

NPI #1093202244 in Mcallen, Texas

Provider Information

NPI Number: 1093202244
Entity Type: Individual
Name: DR. Fombin Lateh Fongu, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 13, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 10318 N 26TH LN
City: Mcallen
State: Texas
ZIP Code: 78504-6376
Phone: (281) 755-7796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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