MEDICARE: MR. EMMANUEL NNOCHIRI ENWERE JR. 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	183700000X	Pharmacy Technician	023673	TX

General Provider Information

NPI Number	:	1548542418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EMMANUEL NNOCHIRI ENWERE JR. PHARMD

Provider Business Mailing Address
First Line	:	13907 INLAND SPRING CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059
Country	:	US
Telephone Number	:	832-279-7135
Fax Number	:

Provider Business Practice Location Address
First Line	:	13907 INLAND SPRING CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3535
Country	:	US
Telephone Number	:	281-480-5154
Fax Number	:

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

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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