Darlington Friday Egbu, PHARMACIST

Individual provider Active NPI Pharmacotherapy Pharmacist · Crownpoint, NM

NPI 1083920532 · NPPES record last updated Aug 23, 2010

Key facts

NPI
1083920532
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
19097 (MD)
Practice address
Junction of Route 371 & Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313
Phone
(505) 786-6344
Fax
(505) 786-2526
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19097MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 19097 MD Yes

Addresses

Primary practice location

Junction of Route 371 & Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313

Mailing address

PO Box 609
Crownpoint, NM 87313-0609
Phone (505) 786-5563

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Pharmacotherapy Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.