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Dr. Samuel Agbonkpolo
Pharmacist in Fontana, California
NPI 1689145294

Samuel Agbonkpolo is a Pharmacist based in Fontana, CA. Samuel Agbonkpolo practices in Fontana, CA. The NPI Number for Samuel Agbonkpolo is 1689145294 and holds a License No. 79732 (California).

The current practice location address for Samuel Agbonkpolo is 11121 Sierra Ave, Fontana, CA and can be reached out via phone at 909-356-9715.

Location: 11121 Sierra Ave, Fontana, CA, 92337-9310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689145294
Provider Name
Samuel Agbonkpolo
Credential
Provider Entity Type
Individual
Gender
Male
Address
11121 Sierra Ave, Fontana, CA, 92337-9310
Phone Number
909-356-9715
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11121 Sierra Ave
City
Fontana
State
California
Zip
92337-9310
Phone Number
909-356-9715
Fax Number
person
Provider Business Mailing Address Details
Address
11121 Sierra Ave
City
Fontana
State
California
Zip
92337-9310
Phone Number
909-356-9715
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
79732 (California)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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