Provider Demographics
NPI:1669863973
Name:NJIKAM, PAMELA WANGIA (RPH)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:WANGIA
Last Name:NJIKAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:NANGA
Other - Last Name:WANGIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1024 SW 44TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3618
Mailing Address - Country:US
Mailing Address - Phone:405-632-0519
Mailing Address - Fax:405-632-0503
Practice Address - Street 1:1024 SW 44TH ST STE 700
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3618
Practice Address - Country:US
Practice Address - Phone:405-632-0519
Practice Address - Fax:405-632-0503
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist