Provider Demographics
NPI:1760255350
Name:ONYEJIAKA, MUNACHISO (PHARMD)
Entity Type:Individual
Prefix:
First Name:MUNACHISO
Middle Name:
Last Name:ONYEJIAKA
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 1:103 LEEDS CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-3904
Mailing Address - Country:US
Mailing Address - Phone:732-688-7926
Mailing Address - Fax:
Practice Address - Street 1:103 LEEDS CREEK CIR
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-3904
Practice Address - Country:US
Practice Address - Phone:732-688-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist