Provider Demographics
NPI:1891405338
Name:ANYAECHE, EUPHEMIA CHINELO
Entity Type:Individual
Prefix:DR
First Name:EUPHEMIA
Middle Name:CHINELO
Last Name:ANYAECHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1364 5TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3314
Mailing Address - Country:US
Mailing Address - Phone:626-421-2142
Mailing Address - Fax:
Practice Address - Street 1:20261 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2953
Practice Address - Country:US
Practice Address - Phone:760-242-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-23
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist