Provider Demographics
NPI:1659658110
Name:C AND I INTERNATIONAL INC.
Entity Type:Organization
Organization Name:C AND I INTERNATIONAL INC.
Other - Org Name:C AND I PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:CHINEDUM
Authorized Official - Middle Name:
Authorized Official - Last Name:EGUZOUWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-437-5408
Mailing Address - Street 1:4308 NICHOLAS CT
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-4846
Mailing Address - Country:US
Mailing Address - Phone:214-437-5408
Mailing Address - Fax:972-264-9859
Practice Address - Street 1:1321 N COCKRELL HILL RD
Practice Address - Street 2:SUITE 101A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1314
Practice Address - Country:US
Practice Address - Phone:469-567-3654
Practice Address - Fax:469-567-3655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX278403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy