Beatrice Ambo Fonge JR., PHARMACIST

NPI #1205439288 in Midland, Texas

Provider Information

NPI Number: 1205439288
Entity Type: Individual
Name: Beatrice Ambo Fonge JR., PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Nov 20, 2020
Last Updated: Nov 20, 2020

Practice Location

Address: 301 ANDREWS HWY
City: Midland
State: Texas
ZIP Code: 79701-6333
Phone: (432) 685-3092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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