Provider Demographics
NPI:1679851166
Name:UGWU, ESTHER C (RPH)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:C
Last Name:UGWU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SHIPPEN RDG
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07863-3238
Mailing Address - Country:US
Mailing Address - Phone:908-453-3692
Mailing Address - Fax:908-453-3636
Practice Address - Street 1:203 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2408
Practice Address - Country:US
Practice Address - Phone:908-453-3692
Practice Address - Fax:908-453-3636
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02310000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist