Provider Demographics
NPI:1245382340
Name:MARTINS, UGOCHUKWU N (RPH)
Entity Type:Individual
Prefix:MR
First Name:UGOCHUKWU
Middle Name:N
Last Name:MARTINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3805
Mailing Address - Country:US
Mailing Address - Phone:718-692-1200
Mailing Address - Fax:718-692-1300
Practice Address - Street 1:5015 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3805
Practice Address - Country:US
Practice Address - Phone:718-692-1200
Practice Address - Fax:718-692-1300
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist