Healthcare Provider Details

I. General information

NPI: 1235043886
Provider Name (Legal Business Name): ONYINYECHUKWU EZEORANU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W GANNON AVE
ZEBULON NC
27597-2623
US

IV. Provider business mailing address

820 CANIS MINOR RD
WENDELL NC
27591-4200
US

V. Phone/Fax

Practice location:
  • Phone: 919-269-3323
  • Fax:
Mailing address:
  • Phone: 213-884-5188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35026
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: