Provider Demographics
NPI:1316541535
Name:AKALONU, NNENNA NKECHI
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:NKECHI
Last Name:AKALONU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 DEVILLE CIR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1849
Mailing Address - Country:US
Mailing Address - Phone:214-566-2546
Mailing Address - Fax:
Practice Address - Street 1:7000 JUSTIN RD
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-8412
Practice Address - Country:US
Practice Address - Phone:940-584-0365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist