Provider Demographics
NPI:1497088686
Name:ONUORAH, EMMANUEL I (RPH)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:I
Last Name:ONUORAH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9570 RIGGS ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-1137
Mailing Address - Country:US
Mailing Address - Phone:409-338-7730
Mailing Address - Fax:409-984-9923
Practice Address - Street 1:9570 RIGGS ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-1137
Practice Address - Country:US
Practice Address - Phone:409-338-7730
Practice Address - Fax:409-984-9923
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-07
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist