Provider Demographics
NPI:1639732969
Name:ASOBO, CLIFORD ABONIFOR (PHARMD)
Entity Type:Individual
Prefix:
First Name:CLIFORD
Middle Name:ABONIFOR
Last Name:ASOBO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9499 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6532
Mailing Address - Country:US
Mailing Address - Phone:303-427-2276
Mailing Address - Fax:303-427-2902
Practice Address - Street 1:9499 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6532
Practice Address - Country:US
Practice Address - Phone:303-427-2276
Practice Address - Fax:303-427-2902
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist