Provider Demographics
NPI:1790010965
Name:OFILI, CHRISTINA NGOZI (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:NGOZI
Last Name:OFILI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 E KAIBAB PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-2967
Mailing Address - Country:US
Mailing Address - Phone:480-802-1480
Mailing Address - Fax:
Practice Address - Street 1:981 W ELLIOT RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1881
Practice Address - Country:US
Practice Address - Phone:480-821-2298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist