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NPI Code Detail

MEDICARE: EMAMOKE E OBIEBI B.PHARM

MEDICARE: EMAMOKE E OBIEBI B.PHARM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist58273CA

General Provider Information

NPI Number : 1346566528
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMAMOKE E OBIEBI B.PHARM
Provider Business Mailing Address
First Line : 140 AVIATOR CIR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1253
Country : US
Telephone Number : 916-928-9316
Fax Number :
Provider Business Practice Location Address
First Line : 6639 WATT AVE
Second Line : RITE AID PHARMACY
City : NORTH HIGHLANDS
State : CA
Zip : 95660-3607
Country : US
Telephone Number : 916-332-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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