Provider Demographics
NPI:1760047336
Name:OFILI, THERESA UWADIA (RN, BS, PHARMD, MPH,)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:UWADIA
Last Name:OFILI
Suffix:
Gender:F
Credentials:RN, BS, PHARMD, MPH,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TEXAS A&M UNIVERSITY COLLEGE OF PHARMACY
Mailing Address - Street 2:206 OLSEN BLVD., REYNOLDS MEDICAL BLDG., SUITE 159
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77843-1114
Mailing Address - Country:US
Mailing Address - Phone:979-436-0717
Mailing Address - Fax:
Practice Address - Street 1:TEXAS A&M UNIVERSITY COLLEGE OF PHARMACY
Practice Address - Street 2:206 OLSEN BLVD., REYNOLDS MEDICAL BLDG., SUITE 159
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77843-1114
Practice Address - Country:US
Practice Address - Phone:979-436-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502492163W00000X, 163WM0102X, 163WN0002X
TX32875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163W00000XNursing Service ProvidersRegistered Nurse
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care