Provider Demographics
NPI:1447570759
Name:NNEBE, UZOMA UCHENNA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:UZOMA
Middle Name:UCHENNA
Last Name:NNEBE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9209 VANFLEET CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2872
Mailing Address - Country:US
Mailing Address - Phone:301-317-5812
Mailing Address - Fax:
Practice Address - Street 1:12701 LAUREL BOWIE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2606
Practice Address - Country:US
Practice Address - Phone:240-456-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist