Agbonkpolo, Samuel

Agbonkpolo, Samuel is an individual health care provider with primary practice located at 11121 Sierra Ave , Fontana CA 92337-9310. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Agbonkpolo, Samuel can be contacted via phone (909) 356-9715.

Contact Information

Primary practice address
11121 Sierra Ave Fontana CA 92337-9310
Phone: (909) 356-9715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 79732 California

Profile Details

NPI number 1689145294
LBN Legal business name Agbonkpolo, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2018
Last updated Dec 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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