Provider Demographics
NPI:1619490364
Name:UCHENDU, GLORIA IFEOMA I (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:IFEOMA
Last Name:UCHENDU
Suffix:I
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 1:12851 W BELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-9609
Mailing Address - Country:US
Mailing Address - Phone:623-533-6514
Mailing Address - Fax:623-518-2860
Practice Address - Street 1:12851 W BELL RD STE 110
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9609
Practice Address - Country:US
Practice Address - Phone:623-533-6514
Practice Address - Fax:623-518-2860
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist