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NPI Code Detail

MEDICARE: NGOZI GLORIA OFFOR

MEDICARE: NGOZI GLORIA OFFOR
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
1183500000XPharmacist72655CA

General Provider Information

NPI Number : 1568902518
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOZI GLORIA OFFOR
Provider Business Mailing Address
First Line : 25244 CORAL CANYON RD
Second Line :
City : CORONA
State : CA
Zip : 92883-3104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1745 UNIVERSITY AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5343
Country : US
Telephone Number : 951-684-5661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2017
Last Update Date : 02/23/2017

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Directions to “ NGOZI GLORIA OFFOR ” Practice Location

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