Individual
DR. CORDELIA NGOZI ABAZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4100 W AIRPORT FWY, IRVING, TX 75062-5913
(972) 313-0701
Mailing address
214 STEEPLECHASE DR, IRVING, TX 75062-3818
(832) 657-5529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
46016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46016
PHARMACIST LICENSE
TX
Enumeration date
12/08/2020
Last updated
12/08/2020
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