Provider Demographics
NPI:1649862996
Name:AZUBUIKE, JENNIFER U (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:U
Last Name:AZUBUIKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2515
Mailing Address - Country:US
Mailing Address - Phone:267-261-4342
Mailing Address - Fax:
Practice Address - Street 1:4201 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-3019
Practice Address - Country:US
Practice Address - Phone:215-457-3877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist