MEDICARE: NONYEREM ANUNNE 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	57188	TX

General Provider Information

NPI Number	:	1447853783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NONYEREM ANUNNE PHARMD

Provider Business Mailing Address
First Line	:	16414 PADEMELON DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-7626
Country	:	US
Telephone Number	:	832-876-6918
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 N RICHMOND RD
Second Line	:
City	:	WHARTON
State	:	TX
Zip	:	77488-2713
Country	:	US
Telephone Number	:	979-532-8660
Fax Number	:

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	11/19/2020

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Directions to “ NONYEREM ANUNNE PHARMD” Practice Location

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