Provider Demographics
NPI:1992363030
Name:EMEGHARA, NNENNA MARY (PHARMD)
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:MARY
Last Name:EMEGHARA
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 1:21 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1513
Mailing Address - Country:US
Mailing Address - Phone:973-262-2498
Mailing Address - Fax:
Practice Address - Street 1:21 UNION AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1513
Practice Address - Country:US
Practice Address - Phone:973-262-2498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program