Julius Asofar Anumbosi
Individual provider Active NPI Pharmacist · Peridot, AZ
NPI 1508353301 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1508353301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0004888 (DE)
- Practice address
- 103 Medicine Way Rd
Peridot, AZ 85542 - Phone
- (928) 475-1300
- NPI assigned
- Apr 17, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0004888 | DE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0004888 | DE | Yes |
Addresses
Primary practice location
103 Medicine Way Rd
Peridot, AZ 85542
Mailing address
PO Box 442
Peridot, AZ 85542-0442
Phone (240) 520-2534
Other names
- Julius Asofar
Other providers in Peridot, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.