MEDICARE: CHIKEZ ONYEWU C.PH.T.

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	183700000X	Pharmacy Technician	1001-0939-2871-285	DC

General Provider Information

NPI Number	:	1043488398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIKEZ ONYEWU C.PH.T.

Provider Business Mailing Address
First Line	:	6602 LAKE PARK DRIVE UNIT T-2
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3094
Country	:	US
Telephone Number	:	301-633-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 LAKE PARK DRIVE UNIT T-2
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3094
Country	:	US
Telephone Number	:	301-633-5554
Fax Number	:

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

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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