Provider Demographics
NPI:1942509906
Name:ANUNOBI, EUCHARIA U
Entity Type:Individual
Prefix:
First Name:EUCHARIA
Middle Name:U
Last Name:ANUNOBI
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 1:4104 TATE ST NE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2551
Mailing Address - Country:US
Mailing Address - Phone:770-788-9191
Mailing Address - Fax:
Practice Address - Street 1:4104 TATE ST NE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-2551
Practice Address - Country:US
Practice Address - Phone:770-788-9191
Practice Address - Fax:770-788-6292
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist