Healthcare Provider Details

I. General information

NPI: 1336451053
Provider Name (Legal Business Name): NENE P OKWUJE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 07/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 CRENSHAW BLVD RITE AID
INGLEWOOD CA
90303
US

IV. Provider business mailing address

1612 W 218TH ST UNIT D
TORRANCE CA
90501-7800
US

V. Phone/Fax

Practice location:
  • Phone: 323-757-2811
  • Fax:
Mailing address:
  • Phone: 310-414-7539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: