MEDICARE: DR. EDWARD C UZOWULU JR. PHARMD

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	61439	TX

General Provider Information

NPI Number	:	1093425407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD C UZOWULU JR. PHARMD

Provider Business Mailing Address
First Line	:	11502 HORNBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-4144
Country	:	US
Telephone Number	:	832-998-3650
Fax Number	:

Provider Business Practice Location Address
First Line	:	11502 HORNBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-4144
Country	:	US
Telephone Number	:	832-998-3650
Fax Number	:

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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