Justin Obunike Olisaemeka

NPI #1588264972 in Fort Stockton, Texas

Provider Information

NPI Number: 1588264972
Entity Type: Individual
Name: Justin Obunike Olisaemeka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 2610 W DICKINSON BLVD
City: Fort Stockton
State: Texas
ZIP Code: 79735-4114
Phone: (432) 336-7531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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