Provider Demographics
NPI:1003966441
Name:OFFIONG, UMOH E (RPH)
Entity Type:Individual
Prefix:MR
First Name:UMOH
Middle Name:E
Last Name:OFFIONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4051 GLEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2253
Mailing Address - Country:US
Mailing Address - Phone:713-922-8190
Mailing Address - Fax:
Practice Address - Street 1:4051 GLEN COVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2253
Practice Address - Country:US
Practice Address - Phone:713-922-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist