MEDICARE: DR. INYANG NORA OSEMENE PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	32879	TX

General Provider Information

NPI Number	:	1053399402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INYANG NORA OSEMENE PHARM.D.

Provider Business Mailing Address
First Line	:	9711 MCKINNEY LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6344
Country	:	US
Telephone Number	:	281-778-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	11595 S WILCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-4752
Country	:	US
Telephone Number	:	281-933-5353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/08/2007

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