Basic Information
Provider Information
NPI: 1801185582
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARIMO NJOKU
FirstName: HOLLY
MiddleName: O
NamePrefix:  
NameSuffix:  
Credential: PHARM D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ARIMO
OtherFirstName: HOLLY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PHARM D
OtherLastNameType: 5
Mailing Information
Address1: 20618 BANDROCK TER
Address2:  
City: RICHMOND
State: TX
PostalCode: 774071471
CountryCode: US
TelephoneNumber: 3468082020
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138732000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/01/2011
LastUpdateDate: 10/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200X480934TXY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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