Provider Demographics
NPI:1962004002
Name:NWIZU, AFOMA UCHECHUKWU (RPH)
Entity Type:Individual
Prefix:
First Name:AFOMA
Middle Name:UCHECHUKWU
Last Name:NWIZU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 ALABAMA AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-5054
Mailing Address - Country:US
Mailing Address - Phone:202-610-6450
Mailing Address - Fax:
Practice Address - Street 1:1535 ALABAMA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5054
Practice Address - Country:US
Practice Address - Phone:202-610-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100002553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist