Provider Demographics
NPI:1659687531
Name:OSUWA, UCHENNA A (PHARM D)
Entity Type:Individual
Prefix:
First Name:UCHENNA
Middle Name:A
Last Name:OSUWA
Suffix:
Gender:F
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 1:13 GLENDOWER CT APT E
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3612
Mailing Address - Country:US
Mailing Address - Phone:443-255-4159
Mailing Address - Fax:
Practice Address - Street 1:300 PULASKI HIGHWAY
Practice Address - Street 2:RITE AID
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085
Practice Address - Country:US
Practice Address - Phone:410-538-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist