Provider Demographics
NPI:1447907068
Name:ENWEREJI, JUDE IKESINACHI (PHARMD)
Entity type:Individual
Prefix:
First Name:JUDE
Middle Name:IKESINACHI
Last Name:ENWEREJI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3233 E GERMANN RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-5252
Mailing Address - Country:US
Mailing Address - Phone:480-214-1027
Mailing Address - Fax:
Practice Address - Street 1:3233 E GERMANN RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-5252
Practice Address - Country:US
Practice Address - Phone:480-214-1027
Practice Address - Fax:480-214-1300
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025483183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy