Provider Demographics
NPI:1689137713
Name:UWAKWE, NGOZI UCHENNA (RPH)
Entity Type:Individual
Prefix:
First Name:NGOZI
Middle Name:UCHENNA
Last Name:UWAKWE
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 1:3323 SIR THOMAS DR APT 43
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4835
Mailing Address - Country:US
Mailing Address - Phone:240-237-0976
Mailing Address - Fax:
Practice Address - Street 1:5403A ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2201
Practice Address - Country:US
Practice Address - Phone:301-277-7107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26140183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist