Provider Demographics
NPI:1851567382
Name:IHEKWOEME, FELIX U (PHARMD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:U
Last Name:IHEKWOEME
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 1:965 HIGHWAY 99W STE 127
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:CA
Mailing Address - Zip Code:96021-2742
Mailing Address - Country:US
Mailing Address - Phone:530-824-4901
Mailing Address - Fax:707-839-0251
Practice Address - Street 1:965 HIGHWAY 99W STE 127
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:CA
Practice Address - Zip Code:96021-2742
Practice Address - Country:US
Practice Address - Phone:530-824-4901
Practice Address - Fax:530-824-4918
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist