Provider Demographics
NPI:1881329977
Name:KOJO, ANDREW SOLANZO (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SOLANZO
Last Name:KOJO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17800 COLIMA RD APT 711
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1743
Mailing Address - Country:US
Mailing Address - Phone:408-505-2113
Mailing Address - Fax:
Practice Address - Street 1:15210 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-4735
Practice Address - Country:US
Practice Address - Phone:714-228-0204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist