Imabong Udofia is a Pharmacist in Detroit, Michigan. Imabong Udofia practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Imabong Udofia is 1740491877. The last update date is 2007-07-08.
Imabong Udofia's current location address is 15531 Grand River Ave, Detroit, Michigan. You can contact this provider via phone number 3132720202 and fax number 3132729892. The mailing address for Imabong Udofia is 15531 Grand River Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Imabong Udofia |
|---|---|
| Address | 15531 Grand River Ave, Detroit, Michigan |
| Phone Number | 3132720202 |
| Fax Number | 3132729892 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1740491877 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15531 Grand River Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482272222 |
| Phone Number | 3132720202 |
| Fax Number | 3132729892 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302032030 |
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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 m |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Imabong Udofia by the Centers for Medicare & Medicaid Services?
The Imabong Udofia has been assigned the NPI (National Provider Identifier) 1740491877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Imabong Udofia?
The Imabong Udofia is situated at 15531 Grand River Ave, in the city of Detroit, state of MI, with the zip code 482272222.
What is the Imabong Udofia's area of specialization and corresponding taxonomy classification?
The Imabong Udofia's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When was the Imabong Udofia's 1740491877 issued?
The Imabong Udofia's 1740491877 was issued on 2007-05-24.
As of what date were the Imabong Udofia's details last updated?
The information pertaining to the Imabong Udofia, including its address, specialty, and other details, was most recently updated on 2007-07-08.