Provider Demographics
NPI:1447504865
Name:OWUSU-BOADI, IRENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:OWUSU-BOADI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8770 N THORNYDALE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9096
Mailing Address - Country:US
Mailing Address - Phone:520-379-9770
Mailing Address - Fax:520-244-1677
Practice Address - Street 1:8770 N THORNYDALE RD STE 190
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-9096
Practice Address - Country:US
Practice Address - Phone:520-379-9770
Practice Address - Fax:520-244-1677
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist