MEDICARE: OZOEMENA EZEJI

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	46152	TX

General Provider Information

NPI Number	:	1568067403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OZOEMENA EZEJI

Provider Business Mailing Address
First Line	:	8303 TALONS WAY
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5212 ANTOINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-3316
Country	:	US
Telephone Number	:	713-682-2533
Fax Number	:

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ OZOEMENA EZEJI ” Practice Location

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