Provider Demographics
NPI:1184072324
Name:OBI, OBIAGELI UZOAMAKA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OBIAGELI
Middle Name:UZOAMAKA
Last Name:OBI
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 1:215 HUNTER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-6022
Mailing Address - Country:US
Mailing Address - Phone:301-232-6412
Mailing Address - Fax:301-604-8887
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5263
Practice Address - Country:US
Practice Address - Phone:301-604-8500
Practice Address - Fax:301-604-8887
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441218183500000X
MD15028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist