Provider Demographics
NPI:1659653624
Name:OGUEJIOFOR, NONYEM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NONYEM
Middle Name:
Last Name:OGUEJIOFOR
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 1:8213 BROOKTREE ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2926
Mailing Address - Country:US
Mailing Address - Phone:301-237-0215
Mailing Address - Fax:
Practice Address - Street 1:9001 WOODY TER
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4255
Practice Address - Country:US
Practice Address - Phone:301-856-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist