Provider Demographics
NPI:1851669493
Name:ALLEN-MYAHWEGI, OBIANUJU UZOMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OBIANUJU
Middle Name:UZOMA
Last Name:ALLEN-MYAHWEGI
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 1:7841 RIDGE AVE
Mailing Address - Street 2:B254
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3053
Mailing Address - Country:US
Mailing Address - Phone:973-204-5509
Mailing Address - Fax:
Practice Address - Street 1:4201 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-3019
Practice Address - Country:US
Practice Address - Phone:215-457-3877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-11
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist