Provider Demographics
NPI:1255745279
Name:NNAJI, THOMPSON IWEGBUNA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:THOMPSON
Middle Name:IWEGBUNA
Last Name:NNAJI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-4509
Mailing Address - Country:US
Mailing Address - Phone:757-244-6851
Mailing Address - Fax:757-244-1642
Practice Address - Street 1:2305 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4509
Practice Address - Country:US
Practice Address - Phone:757-244-6851
Practice Address - Fax:757-244-1642
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist