Provider Demographics
NPI:1093092504
Name:ONWUKA, IFECHUKWU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IFECHUKWU
Middle Name:
Last Name:ONWUKA
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 1:3628 DUMAINE ST
Mailing Address - Street 2:APT C
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3860
Mailing Address - Country:US
Mailing Address - Phone:765-532-8419
Mailing Address - Fax:
Practice Address - Street 1:9407 E PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363-3946
Practice Address - Country:US
Practice Address - Phone:985-876-3117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist