MEDICARE: MRS. IJEOMA AGNES UWAKWE 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	183500000X	Pharmacist	20339	NC

General Provider Information

NPI Number	:	1932490497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. IJEOMA AGNES UWAKWE PHARM.D

Provider Business Mailing Address
First Line	:	4226 GEORGETOWN DR N
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27896-9505
Country	:	US
Telephone Number	:	252-293-4177
Fax Number	:	252-293-4180

Provider Business Practice Location Address
First Line	:	404 EAST NASH ST
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-0000
Country	:	US
Telephone Number	:	252-293-4177
Fax Number	:

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

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	02/19/2025

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