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NPI Code Detail

MEDICARE: UCHENNA FORTUNE OKONKWO

MEDICARE:   UCHENNA FORTUNE OKONKWO
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
1183500000XPharmacist32036TX

General Provider Information

NPI Number : 1568061802
Entity Type Code : Individual
Provider Name (Legal Business Name) : UCHENNA FORTUNE OKONKWO
Provider Business Mailing Address
First Line : 12014 CEDAR CREEK DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1641
Country : US
Telephone Number : 258-386-8911
Fax Number :
Provider Business Practice Location Address
First Line : 151 N FRIENDSWOOD DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3746
Country : US
Telephone Number : 281-992-1710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 10/19/2020

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Directions to “ UCHENNA FORTUNE OKONKWO ” Practice Location

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