Individual provider · Type 1 NPI
Imabong Udofia, RPH
Pharmacist · Detroit, MI
Practice location
15531 Grand River Ave
Detroit, MI 48227-2222
Fax (313) 272-9892
Mailing address
19180 W 11 Mile Rd
Lathrup Village, MI 48076-3207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 5302032030 (MI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1740491877
Imabong Udofia, RPH's National Provider Identifier is 1740491877, issued on May 24, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.