Healthcare Provider Details

I. General information

NPI: 1215277959
Provider Name (Legal Business Name): ULOMA NWAMALUBIA OKONKWO PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2013
Last Update Date: 02/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16603 NEW MARKET LN
HOUSTON TX
77083-7209
US

IV. Provider business mailing address

16603 NEW MARKET LN
HOUSTON TX
77083-7209
US

V. Phone/Fax

Practice location:
  • Phone: 281-670-7973
  • Fax:
Mailing address:
  • Phone: 281-670-7973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number52209
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: