Provider Demographics
NPI:1033711262
Name:ONWUELEZI, STEPHEN CHIBUIKE (RPH)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHIBUIKE
Last Name:ONWUELEZI
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 1:8206 SAWGRASS LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-4809
Mailing Address - Country:US
Mailing Address - Phone:972-989-6476
Mailing Address - Fax:
Practice Address - Street 1:1951 MILITARY PKWY
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3629
Practice Address - Country:US
Practice Address - Phone:469-357-5453
Practice Address - Fax:469-357-5452
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist