MEDICARE: MR. OBINNA I ANADU RPH

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
1	183500000X	Pharmacist	7161	AZ

General Provider Information

NPI Number	:	1871528166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OBINNA I ANADU RPH

Provider Business Mailing Address
First Line	:	2100 N 145TH AVE
Second Line	:	APT 2007
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-1624
Country	:	US
Telephone Number	:	623-536-5707
Fax Number	:

Provider Business Practice Location Address
First Line	:	3132 E CAMELBACK RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	602-957-4265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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