Provider Demographics
NPI:1306147426
Name:AZU, NGOZI IKE (RPH)
Entity type:Individual
Prefix:MR
First Name:NGOZI
Middle Name:IKE
Last Name:AZU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 S YOSEMITE ST
Mailing Address - Street 2:SAFEWAY
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1418
Mailing Address - Country:US
Mailing Address - Phone:303-843-7688
Mailing Address - Fax:303-843-7824
Practice Address - Street 1:7375 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-1305
Practice Address - Country:US
Practice Address - Phone:303-843-7688
Practice Address - Fax:303-843-7824
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO134241835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist