Provider Demographics
NPI:1043530751
Name:ONWUMERE, PETER NNAMDI
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:NNAMDI
Last Name:ONWUMERE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2952 E WATERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5472
Mailing Address - Country:US
Mailing Address - Phone:559-312-3833
Mailing Address - Fax:559-325-5690
Practice Address - Street 1:6767 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-4402
Practice Address - Country:US
Practice Address - Phone:559-312-3833
Practice Address - Fax:559-325-5690
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist