Provider Demographics
NPI:1063023885
Name:MADUAKO, CHUKWUKA TONY (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHUKWUKA
Middle Name:TONY
Last Name:MADUAKO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S GENERAL KNYPHAUSEN CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3825
Mailing Address - Country:US
Mailing Address - Phone:646-229-4940
Mailing Address - Fax:
Practice Address - Street 1:3240 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-6130
Practice Address - Country:US
Practice Address - Phone:302-252-0543
Practice Address - Fax:302-658-2575
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27151183500000X
DEA1-0005326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist