Provider Demographics
NPI:1225313489
Name:ONUBOGU, UGONWA BERNEDETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:UGONWA
Middle Name:BERNEDETTE
Last Name:ONUBOGU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-5332
Mailing Address - Country:US
Mailing Address - Phone:336-224-0424
Mailing Address - Fax:
Practice Address - Street 1:1250 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-5332
Practice Address - Country:US
Practice Address - Phone:336-224-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist