MEDICARE: NWAMAKA OLUOMA CHUDI-OKEKE

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	54535	TX

General Provider Information

NPI Number	:	1174127815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NWAMAKA OLUOMA CHUDI-OKEKE

Provider Business Mailing Address
First Line	:	9285 CULEBRA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2804
Country	:	US
Telephone Number	:	210-521-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	9285 CULEBRA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-2804
Country	:	US
Telephone Number	:	210-521-5335
Fax Number	:	210-647-5119

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

Provider Enumeration Date	:	11/23/2020
Last Update Date	:	11/23/2020

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Directions to “ NWAMAKA OLUOMA CHUDI-OKEKE ” Practice Location

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