Provider Demographics
NPI:1083920532
Name:EGBU, DARLINGTON FRIDAY (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:DARLINGTON
Middle Name:FRIDAY
Last Name:EGBU
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:CROWNPOINT
Mailing Address - State:NM
Mailing Address - Zip Code:87313-0609
Mailing Address - Country:US
Mailing Address - Phone:505-786-5563
Mailing Address - Fax:
Practice Address - Street 1:JUNCTION OF ROUTE 371 & ROUTE 9
Practice Address - Street 2:CROWNPOINT HEALTHCARE FACILITY
Practice Address - City:CROWNPOINT
Practice Address - State:NM
Practice Address - Zip Code:87313
Practice Address - Country:US
Practice Address - Phone:505-786-6344
Practice Address - Fax:505-786-2526
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD190971835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy