MEDICARE: CHINYERE NWACHUKWU

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

General Provider Information

NPI Number	:	1114317625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINYERE NWACHUKWU

Provider Business Mailing Address
First Line	:	13 FEDERAL ST
Second Line	:
City	:	METUCHEN
State	:	NJ
Zip	:	08840-2814
Country	:	US
Telephone Number	:	732-762-9614
Fax Number	:

Provider Business Practice Location Address
First Line	:	2873 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5811
Country	:	US
Telephone Number	:	732-762-9614
Fax Number	:

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

Provider Enumeration Date	:	02/04/2015
Last Update Date	:	02/04/2015

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Directions to “ CHINYERE NWACHUKWU ” Practice Location

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