Provider Demographics
NPI:1306725098
Name:DZUKEY, ELFREDA AMI
Entity type:Individual
Prefix:
First Name:ELFREDA
Middle Name:AMI
Last Name:DZUKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11306 CLAYTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2206
Mailing Address - Country:US
Mailing Address - Phone:919-550-3910
Mailing Address - Fax:919-550-3992
Practice Address - Street 1:11306 CLAYTON BLVD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2206
Practice Address - Country:US
Practice Address - Phone:919-550-3910
Practice Address - Fax:919-550-3992
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34184183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist