Provider Demographics
NPI:1417561549
Name:OSUJI, CHINYERE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:
Last Name:OSUJI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 ALAFAYA PALMS DR UNIT 302
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7849
Mailing Address - Country:US
Mailing Address - Phone:305-343-8102
Mailing Address - Fax:
Practice Address - Street 1:8400 W IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-1085
Practice Address - Country:US
Practice Address - Phone:407-396-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist