MEDICARE: UZOAMAKA EZEOKEKE

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	52312	TX

General Provider Information

NPI Number	:	1407199953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UZOAMAKA EZEOKEKE

Provider Business Mailing Address
First Line	:	12535 LEADER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2468
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10910 W BELLFORT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-4759
Country	:	US
Telephone Number	:	832-352-6634
Fax Number	:

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

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	04/03/2013

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Directions to “ UZOAMAKA EZEOKEKE ” Practice Location

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