Healthcare Provider Details

I. General information

NPI: 1548542418
Provider Name (Legal Business Name): EMMANUEL NNOCHIRI ENWERE JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13907 INLAND SPRING CT
HOUSTON TX
77059-3535
US

IV. Provider business mailing address

13907 INLAND SPRING CT
HOUSTON TX
77059
US

V. Phone/Fax

Practice location:
  • Phone: 281-480-5154
  • Fax:
Mailing address:
  • Phone: 832-279-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number023673
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: