Provider Demographics
NPI:1366044711
Name:ONYEMA, PASCAL M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PASCAL
Middle Name:M
Last Name:ONYEMA
Suffix:
Gender:M
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 1:1214 SHEARWATER LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2694
Mailing Address - Country:US
Mailing Address - Phone:972-489-9692
Mailing Address - Fax:
Practice Address - Street 1:621 UPTOWN BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3508
Practice Address - Country:US
Practice Address - Phone:469-272-7380
Practice Address - Fax:469-272-9127
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist