Provider Demographics
NPI:1730481250
Name:OSIA, UZO GRACE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:UZO
Middle Name:GRACE
Last Name:OSIA
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 1:6602 GREEN BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9740
Mailing Address - Country:US
Mailing Address - Phone:301-627-6091
Mailing Address - Fax:301-627-0098
Practice Address - Street 1:7605 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4231
Practice Address - Country:US
Practice Address - Phone:301-627-6091
Practice Address - Fax:301-627-0098
Is Sole Proprietor?:No
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist