Provider Demographics
NPI:1578903647
Name:ANOZIE, EMMANUEL CHUKWUDUM SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:CHUKWUDUM
Last Name:ANOZIE
Suffix:SR
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 1:10013 HARBOR AVE
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-2122
Mailing Address - Country:US
Mailing Address - Phone:301-809-6992
Mailing Address - Fax:301-809-6029
Practice Address - Street 1:700 2ND ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8100
Practice Address - Country:US
Practice Address - Phone:202-346-3011
Practice Address - Fax:202-346-3302
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2972183500000X
MD12718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist