MEDICARE: MRS. CHIOMA UCHECHI UGWA RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	17017	NC

General Provider Information

NPI Number	:	1033304001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHIOMA UCHECHI UGWA RPH

Provider Business Mailing Address
First Line	:	10654 CARDINGTON LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-7016
Country	:	US
Telephone Number	:	919-792-0160
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 DAVIS DR
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8819
Country	:	US
Telephone Number	:	919-961-0715
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

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