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NPI Code Detail

MEDICARE: ONOVUGHODE TEGA OBOH PHARMD

MEDICARE: ONOVUGHODE TEGA OBOH PHARMD
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
1183500000XPharmacist34525TN

General Provider Information

NPI Number : 1679874192
Entity Type Code : Individual
Provider Name (Legal Business Name) : ONOVUGHODE TEGA OBOH PHARMD
Provider Business Mailing Address
First Line : 2929 OLD FRANKLIN RD
Second Line : APT 911
City : ANTIOCH
State : TN
Zip : 37013-3198
Country : US
Telephone Number : 404-704-0781
Fax Number :
Provider Business Practice Location Address
First Line : 2806 SMITH SPRINGS RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-4311
Country : US
Telephone Number : 615-361-0182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2010
Last Update Date : 11/15/2010

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Directions to “ ONOVUGHODE TEGA OBOH PHARMD” Practice Location

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