Provider Demographics
NPI:1659607265
Name:NCHEKWUBE, ABIGAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:NCHEKWUBE
Suffix:
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 1:3601 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-6129
Mailing Address - Country:US
Mailing Address - Phone:469-450-1114
Mailing Address - Fax:
Practice Address - Street 1:6515 ABRAMS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7207
Practice Address - Country:US
Practice Address - Phone:214-341-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist