Healthcare Provider Details

I. General information

NPI: 1902806318
Provider Name (Legal Business Name): CHIMEREMEZE H UKOMADU PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9898 BISSONNET ST
HOUSTON TX
77036-8270
US

IV. Provider business mailing address

2506 LONG REACH DR
SUGAR LAND TX
77478-4130
US

V. Phone/Fax

Practice location:
  • Phone: 713-271-1555
  • Fax: 713-270-0667
Mailing address:
  • Phone: 832-606-2796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43343
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: