Provider Demographics
NPI:1689287484
Name:CHIJIOKE, NEDRA NKIRU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEDRA
Middle Name:NKIRU
Last Name:CHIJIOKE
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 1:3090 W NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3658
Mailing Address - Country:US
Mailing Address - Phone:321-727-8453
Mailing Address - Fax:
Practice Address - Street 1:3090 W NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3658
Practice Address - Country:US
Practice Address - Phone:321-727-8453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist