Fonguh Enterprises INC
NPI #1689119901 in West Branch, Michigan
Provider Information
- NPI Number
- 1689119901
- Entity Type
- Organization
- Organization Name
- Fonguh Enterprises INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 22, 2016
- Last Updated
- Apr 26, 2017
Practice Location
- Address
- 700 COLUMBUS AVE
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-8705
- Phone
- (989) 343-5300
Authorized Official
- Name
- JUDE FONGUH
- Title
- OWNER, AO
- Phone
- (513) 602-2289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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