Provider Demographics
NPI:1629307350
Name:ONYEKWELU, CHIEBONAM OBIAGELI (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHIEBONAM
Middle Name:OBIAGELI
Last Name:ONYEKWELU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:OBY
Other - Middle Name:
Other - Last Name:ONYEKWELU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15040 FAIRFIELD VILLAGE SQUARE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7900
Mailing Address - Country:US
Mailing Address - Phone:281-758-4040
Mailing Address - Fax:281-758-4043
Practice Address - Street 1:15040 FAIRFIELD VILLAGE SQUARE DR STE 100
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7900
Practice Address - Country:US
Practice Address - Phone:281-758-4040
Practice Address - Fax:281-758-4043
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist