Provider Demographics
NPI:1689318016
Name:ONOH, ANI CHIBUZO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANI
Middle Name:CHIBUZO
Last Name:ONOH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2787 N HOUSTON ST APT 4025
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5043
Mailing Address - Country:US
Mailing Address - Phone:909-827-1507
Mailing Address - Fax:
Practice Address - Street 1:1060 W CAMP WISDOM RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-3536
Practice Address - Country:US
Practice Address - Phone:972-228-6738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy