Provider Demographics
NPI:1417247370
Name:ONWU, ERNEST EZE
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:EZE
Last Name:ONWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 KINDLING WOOD LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6802
Mailing Address - Country:US
Mailing Address - Phone:704-516-6948
Mailing Address - Fax:
Practice Address - Street 1:205 SALISBURY AVE
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3357
Practice Address - Country:US
Practice Address - Phone:704-982-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist