Provider Demographics
NPI:1609463025
Name:NWAOGWUGWU, UZOMA STEPHEN JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:UZOMA
Middle Name:STEPHEN
Last Name:NWAOGWUGWU
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 RIDGELINE TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3706
Mailing Address - Country:US
Mailing Address - Phone:301-793-7023
Mailing Address - Fax:
Practice Address - Street 1:7706 MILESTONE PKWY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1754
Practice Address - Country:US
Practice Address - Phone:410-799-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist