Dr. Usoro Emmanuel Udo, PharmD
Pharmacist, Compounded Sterile Preparations in Ft Cavazos, TX. Individual provider (NPI-1).
NPI number1982122008
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1982122008
- Entity type
- Individual (NPI-1)
- Name
- Dr. Usoro Emmanuel Udo
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2017
- Certification date
- Sep 20, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835C0207X | Pharmacist, Compounded Sterile Preparations | RP00008823 | NM | Yes |
| 171000000X | Military Health Care Provider | – | NM |
Practice location
590 Medical Center RoadFt Cavazos, TX 76544
Phone 254-287-0771
Mailing address
601 Tule Canyon DriveTemple, TX 76502
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