Provider Demographics
NPI:1275852493
Name:UZOIGWE, DAN N (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:N
Last Name:UZOIGWE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2014
Mailing Address - Country:US
Mailing Address - Phone:347-223-2336
Mailing Address - Fax:718-649-1110
Practice Address - Street 1:10317 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2703
Practice Address - Country:US
Practice Address - Phone:718-649-1111
Practice Address - Fax:718-649-1110
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist