Provider Demographics
NPI:1013518208
Name:ANOSIKE, PASCAL EMEKA (RPH)
Entity Type:Individual
Prefix:
First Name:PASCAL
Middle Name:EMEKA
Last Name:ANOSIKE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W CAMP WISDOM RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3329
Mailing Address - Country:US
Mailing Address - Phone:469-877-9222
Mailing Address - Fax:972-709-1720
Practice Address - Street 1:200 W CAMP WISDOM RD
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3329
Practice Address - Country:US
Practice Address - Phone:972-298-6255
Practice Address - Fax:972-709-1720
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist