Provider Demographics
NPI:1518218254
Name:NWAUBANI, CHIOMA CYNTHIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:CYNTHIA
Last Name:NWAUBANI
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 1:2817 YEONAS DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-6124
Mailing Address - Country:US
Mailing Address - Phone:703-865-8212
Mailing Address - Fax:
Practice Address - Street 1:2817 YEONAS DR
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-6124
Practice Address - Country:US
Practice Address - Phone:703-865-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000957183500000X
VA0202209493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist