Provider Demographics
NPI:1952668899
Name:NGWABA, CYNTHIA NKEIRU (PHARM D)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NKEIRU
Last Name:NGWABA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 RICHMOND AVE
Mailing Address - Street 2:525
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2421
Mailing Address - Country:US
Mailing Address - Phone:832-860-9700
Mailing Address - Fax:281-579-3324
Practice Address - Street 1:12360 RICHMOND AVE
Practice Address - Street 2:525
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2421
Practice Address - Country:US
Practice Address - Phone:832-860-9700
Practice Address - Fax:281-579-3324
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019751183500000X
TX45635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist