Provider Demographics
NPI:1932490497
Name:UWAKWE, IJEOMA AGNES (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:IJEOMA
Middle Name:AGNES
Last Name:UWAKWE
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 1:4226 GEORGETOWN DR N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-9505
Mailing Address - Country:US
Mailing Address - Phone:252-243-5445
Mailing Address - Fax:252-243-0460
Practice Address - Street 1:1601 FOREST HILLS RD W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3408
Practice Address - Country:US
Practice Address - Phone:252-243-5445
Practice Address - Fax:252-243-0460
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist