Healthcare Provider Details

I. General information

NPI: 1548432784
Provider Name (Legal Business Name): EUCHARIA IJENWA ONYEJE PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 VETERANS MEMORIAL DR
TEMPLE TX
76504-7451
US

IV. Provider business mailing address

17108 JIGSAW PATHWAY
ROUND ROCK TX
78664-8521
US

V. Phone/Fax

Practice location:
  • Phone: 254-743-0019
  • Fax: 254-743-0020
Mailing address:
  • Phone: 512-990-7608
  • Fax: 512-252-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42940
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: