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NPI Code Detail

MEDICARE: EMMANUEL NDUBUEZE

MEDICARE:   EMMANUEL  NDUBUEZE
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
1183500000XPharmacist0202009523VA

General Provider Information

NPI Number : 1336447978
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMANUEL NDUBUEZE
Provider Business Mailing Address
First Line : 14467 WOODLEIGH DR
Second Line :
City : CHESTER
State : VA
Zip : 23831-6574
Country : US
Telephone Number : 804-796-1034
Fax Number : 804-318-1870
Provider Business Practice Location Address
First Line : 5210 OAKLAWN BLVD
Second Line :
City : HOPEWELL
State : VA
Zip : 23860-7336
Country : US
Telephone Number : 804-458-8688
Fax Number : 804-458-1803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 03/07/2011

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Directions to “ EMMANUEL NDUBUEZE ” Practice Location

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