Provider Demographics
NPI:1053847418
Name:EMEREOLE, CHINENYE
Entity Type:Individual
Prefix:
First Name:CHINENYE
Middle Name:
Last Name:EMEREOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHINENYE
Other - Middle Name:
Other - Last Name:ISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2808 ARBURY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:214-457-3767
Mailing Address - Fax:
Practice Address - Street 1:2808 ARBURY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:214-457-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50408183500000X
FLPS52727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist