IndividualActive
Alfred Mudoh
NPI 1285188714 · Pharmacist · Longview, TX
Provider details
- NPI number
- 1285188714
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 55659 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
710 Crepe Myrtle Ln
Longview, TX 75604-6906
Phone: (832) 202-4796
Approximate (ZIP-level) locationGet directions
Mailing address
710 Crepe Myrtle Ln
Longview, TX 75604-6906
Registry dates
- Enumerated
- 2016-08-12
- Last updated
- 2016-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.