Healthcare Provider Details

I. General information

NPI: 1790010965
Provider Name (Legal Business Name): CHRISTINA NGOZI OFILI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 S MCCLINTOCK DR
TEMPE AZ
85282-7374
US

IV. Provider business mailing address

2329 E KAIBAB PL
CHANDLER AZ
85249-2967
US

V. Phone/Fax

Practice location:
  • Phone: 480-752-9733
  • Fax: 480-752-9727
Mailing address:
  • Phone: 480-735-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS010349
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: