Provider Demographics
NPI:1558754218
Name:UCHENNA OGUGUA
Entity Type:Organization
Organization Name:UCHENNA OGUGUA
Other - Org Name:RXMART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUGUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-371-4825
Mailing Address - Street 1:5019 RIVER KENTON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5418
Mailing Address - Country:US
Mailing Address - Phone:210-371-4825
Mailing Address - Fax:
Practice Address - Street 1:2004 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2934
Practice Address - Country:US
Practice Address - Phone:210-224-7676
Practice Address - Fax:210-224-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX298103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151448OtherPK