Provider Demographics
NPI:1467744565
Name:WOKOCHA, EZE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EZE
Middle Name:
Last Name:WOKOCHA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 TORRINGTON WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2665
Mailing Address - Country:US
Mailing Address - Phone:609-674-1360
Mailing Address - Fax:
Practice Address - Street 1:108 ROWAN ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4920
Practice Address - Country:US
Practice Address - Phone:910-307-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist