Provider Demographics
NPI:1417320680
Name:CHUKWURAH, CHUKWUEMEKA JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:
Last Name:CHUKWURAH
Suffix:JR
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 1:5040 S COULTER ST
Mailing Address - Street 2:APT 918
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-5400
Mailing Address - Country:US
Mailing Address - Phone:240-486-5279
Mailing Address - Fax:
Practice Address - Street 1:3320 BELL ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-5013
Practice Address - Country:US
Practice Address - Phone:806-468-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54440183500000X
NJ28R103600900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist