MEDICARE: DR. ULOMA NATHAN-IGWE PHARM.D

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	17150	MD

General Provider Information

NPI Number	:	1275833766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ULOMA NATHAN-IGWE PHARM.D

Provider Business Mailing Address
First Line	:	7605 ROBERT CRAIN HWY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772
Country	:	US
Telephone Number	:	301-574-0250
Fax Number	:	301-574-0252

Provider Business Practice Location Address
First Line	:	2346 IVERSON ST
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-6801
Country	:	US
Telephone Number	:	301-423-0462
Fax Number	:	301-423-5149

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

Provider Enumeration Date	:	10/30/2010
Last Update Date	:	09/06/2024

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