Provider Demographics
NPI:1083180277
Name:UMEAKUANA, EBUBECHUKWU (PHARM D)
Entity Type:Individual
Prefix:
First Name:EBUBECHUKWU
Middle Name:
Last Name:UMEAKUANA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 SHADY BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6922
Mailing Address - Country:US
Mailing Address - Phone:832-563-1231
Mailing Address - Fax:
Practice Address - Street 1:1423 SHADY BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6922
Practice Address - Country:US
Practice Address - Phone:832-563-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist