Provider Demographics
NPI:1619628203
Name:ONYEUGWOR, LAWRENCE NDUBUISI (PHARM- D)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:NDUBUISI
Last Name:ONYEUGWOR
Suffix:
Gender:M
Credentials:PHARM- D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 HUTCHINS DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-2749
Mailing Address - Country:US
Mailing Address - Phone:817-262-2773
Mailing Address - Fax:
Practice Address - Street 1:2801 E INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:HUDSON OAKS
Practice Address - State:TX
Practice Address - Zip Code:76087-8596
Practice Address - Country:US
Practice Address - Phone:817-599-7490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist