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NPI Code Detail

MEDICARE: AGATHA NWAGWU

MEDICARE:   AGATHA  NWAGWU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15187CO

General Provider Information

NPI Number : 1295018778
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGATHA NWAGWU
Provider Business Mailing Address
First Line : 2000 E COLFAX AVE
Second Line :
City : DENVER
State : CO
Zip : 80206-1304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E COLFAX AVE
Second Line :
City : DENVER
State : CO
Zip : 80206-1304
Country : US
Telephone Number : 303-331-0917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ AGATHA NWAGWU ” Practice Location

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