Provider Demographics
NPI:1538645783
Name:NWUDE, AZUKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AZUKA
Middle Name:
Last Name:NWUDE
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 1:3350 TOLEDO TER
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-4105
Mailing Address - Country:US
Mailing Address - Phone:425-223-7341
Mailing Address - Fax:
Practice Address - Street 1:3350 TOLEDO TER
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-4105
Practice Address - Country:US
Practice Address - Phone:425-223-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100003101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist