MR. Pryde Manga Fonbah, RPH

NPI #1922239623 in Ukiah, California

Provider Information

NPI Number: 1922239623
Entity Type: Individual
Name: MR. Pryde Manga Fonbah, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 29, 2009
Last Updated: Feb 23, 2016

Practice Location

Address: 155 S. ORCHARD AVE
City: Ukiah
State: California
ZIP Code: 95182
Phone: (707) 462-9751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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