Provider Demographics
NPI:1518561851
Name:OJOGWU, LOUISA OBIAMAKA
Entity Type:Individual
Prefix:
First Name:LOUISA
Middle Name:OBIAMAKA
Last Name:OJOGWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35799 HWY 27
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-3734
Mailing Address - Country:US
Mailing Address - Phone:863-422-4969
Mailing Address - Fax:
Practice Address - Street 1:35799 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-3734
Practice Address - Country:US
Practice Address - Phone:863-422-4969
Practice Address - Fax:863-422-9370
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist