Healthcare Provider Details

I. General information

NPI: 1942832852
Provider Name (Legal Business Name): NGOZI OKOLIE PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 02/08/2020
Certification Date: 02/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S VOSS RD
HOUSTON TX
77057-2605
US

IV. Provider business mailing address

7806 DEEP GREEN DR
ROSENBERG TX
77469-1837
US

V. Phone/Fax

Practice location:
  • Phone: 713-780-7643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number53179
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: