MEDICARE: NONYE OHERI 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	73787	TX

General Provider Information

NPI Number	:	1962255885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NONYE OHERI PHARM D.

Provider Business Mailing Address
First Line	:	12731 CORONA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4605
Country	:	US
Telephone Number	:	415-987-9135
Fax Number	:

Provider Business Practice Location Address
First Line	:	12731 CORONA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4605
Country	:	US
Telephone Number	:	415-987-9135
Fax Number	:

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

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	04/10/2024

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Directions to “ NONYE OHERI PHARM D.” Practice Location

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