Provider Demographics
NPI:1114723954
Name:ALOZIE, JIMMARA ANYINO (RPH)
Entity type:Individual
Prefix:
First Name:JIMMARA
Middle Name:ANYINO
Last Name:ALOZIE
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CREEKHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4728
Mailing Address - Country:US
Mailing Address - Phone:813-580-2415
Mailing Address - Fax:
Practice Address - Street 1:721 BOYD RD
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-4811
Practice Address - Country:US
Practice Address - Phone:817-270-5838
Practice Address - Fax:817-270-5870
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist