Provider Demographics
NPI:1124603063
Name:UZOUKWU, NKOLIKA B (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NKOLIKA
Middle Name:B
Last Name:UZOUKWU
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 1:361 GEORGE W LILES PKWY NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6532
Mailing Address - Country:US
Mailing Address - Phone:704-789-9681
Mailing Address - Fax:
Practice Address - Street 1:361 GEORGE W LILES PKWY NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-6532
Practice Address - Country:US
Practice Address - Phone:704-789-9681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist