Provider Demographics
NPI:1821960709
Name:AYUYU, ANGELO DELFIN (PHARMD)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:DELFIN
Last Name:AYUYU
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 1:3515 ROSE CT N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1574
Mailing Address - Country:US
Mailing Address - Phone:808-200-9979
Mailing Address - Fax:
Practice Address - Street 1:21615 S DIAMOND LAKE RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:MN
Practice Address - Zip Code:55374-8893
Practice Address - Country:US
Practice Address - Phone:763-428-6392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN127124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist