Provider Demographics
NPI:1497082226
Name:AZIZA, OGHENEKEVWE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OGHENEKEVWE
Middle Name:
Last Name:AZIZA
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 1:2201 THOMPSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5475
Mailing Address - Country:US
Mailing Address - Phone:832-451-6991
Mailing Address - Fax:
Practice Address - Street 1:2201 THOMPSON RD STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5475
Practice Address - Country:US
Practice Address - Phone:832-451-6991
Practice Address - Fax:832-787-1004
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist