Provider Demographics
NPI:1669128575
Name:AZU-IRONDI, EMILDA NGOZI (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILDA
Middle Name:NGOZI
Last Name:AZU-IRONDI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:EMILDA
Other - Middle Name:NGOZI
Other - Last Name:IHEKWABA-ISITUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2334 W BUCKINGHAM RD # 230-147
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4934
Mailing Address - Country:US
Mailing Address - Phone:972-832-7979
Mailing Address - Fax:
Practice Address - Street 1:13100 JOSEY LN
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-6351
Practice Address - Country:US
Practice Address - Phone:972-656-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist