Provider Demographics
NPI:1770866592
Name:ENWEREM, UZOAMAKA CHINENYE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:UZOAMAKA
Middle Name:CHINENYE
Last Name:ENWEREM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 CADILLAC AVE
Mailing Address - Street 2:PHARMACY ADMINISTRATION
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1702
Mailing Address - Country:US
Mailing Address - Phone:323-857-3989
Mailing Address - Fax:323-857-3923
Practice Address - Street 1:6041 CADILLAC AVE
Practice Address - Street 2:PHARMACY ADMINISTRATION
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1702
Practice Address - Country:US
Practice Address - Phone:323-857-3989
Practice Address - Fax:323-857-3923
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 65957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist