NPI 1003054057

Ngale Ndiva Mongoh, PHARMD

Practitioner Pharmacist Port Lavaca, TX

Practice location

Address: 325 S. Hwy. 35 By Pass, Port Lavaca, TX 77979
Phone: (361) 552-7486
Mailing address: 609 Mallette Dr # 525, Victoria, TX 77904-3382

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 46316 (TX)

Other Pharmacist providers in Texas →

Registry record

NPI: 1003054057
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2009
Record last updated: 29 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.