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NPI Code Detail

MEDICARE: OBINNA ANOWAI PHARMD, RPH

MEDICARE: OBINNA ANOWAI PHARMD, RPH
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist69139TX
2183500000XPharmacist26029015AIN

General Provider Information

NPI Number : 1184228819
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBINNA ANOWAI PHARMD, RPH
Provider Business Mailing Address
First Line : 4650 S EMERSON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5932
Country : US
Telephone Number : 317-665-3380
Fax Number :
Provider Business Practice Location Address
First Line : 4650 S EMERSON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5932
Country : US
Telephone Number : 317-665-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 12/09/2021

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