Individual provider · Type 1 NPI

Dieudonne F. Fomboh

Pharmacist · Palestine, TX

NPI number 1568896702 Active

Practice location

2201 S Loop 256
Palestine, TX 75801-4701

Call (903) 723-4705 Map

Fax (903) 723-4703

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X53837 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1568896702

Dieudonne F. Fomboh's National Provider Identifier is 1568896702, issued on Aug 23, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Palestine, TX. The record was last updated on Aug 9, 2021.