Provider Demographics
NPI:1154926061
Name:AJUO, LOUINA
Entity type:Individual
Prefix:
First Name:LOUINA
Middle Name:
Last Name:AJUO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 SUNWOOD DR NW APT 235
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-5279
Mailing Address - Country:US
Mailing Address - Phone:763-732-8021
Mailing Address - Fax:
Practice Address - Street 1:127 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:MILACA
Practice Address - State:MN
Practice Address - Zip Code:56353-1105
Practice Address - Country:US
Practice Address - Phone:320-982-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26158183500000X
MN124516183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist