Provider Demographics
NPI:1396356234
Name:NDUKWE, CHUKWUMA GOODLUCK (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:CHUKWUMA
Middle Name:GOODLUCK
Last Name:NDUKWE
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 1:54 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3201
Mailing Address - Country:US
Mailing Address - Phone:203-795-6001
Mailing Address - Fax:203-795-1184
Practice Address - Street 1:54 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3201
Practice Address - Country:US
Practice Address - Phone:203-795-6001
Practice Address - Fax:203-795-1184
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0013778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist