Edmund Ngu Foncha

NPI #1801177217 in Neptune Beach, Florida

Provider Information

NPI Number: 1801177217
Entity Type: Individual
Name: Edmund Ngu Foncha
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 406 ATLANTIC BLVD
City: Neptune Beach
State: Florida
ZIP Code: 32266-4022
Phone: (904) 521-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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