Provider Demographics
NPI:1780224311
Name:ONYEJEKWE, COLLETTE CHINWE (PHARMD)
Entity Type:Individual
Prefix:
First Name:COLLETTE
Middle Name:CHINWE
Last Name:ONYEJEKWE
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 1:3 CAPITOL HL
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-5034
Mailing Address - Country:US
Mailing Address - Phone:401-222-5075
Mailing Address - Fax:
Practice Address - Street 1:3 CAPITOL HL
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-5034
Practice Address - Country:US
Practice Address - Phone:401-222-5075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist