Provider Demographics
NPI:1255922316
Name:NWAOGU, OGECHI ULOMA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OGECHI
Middle Name:ULOMA
Last Name:NWAOGU
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 1:4111 BROWN BARK CIR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2053
Mailing Address - Country:US
Mailing Address - Phone:443-600-4477
Mailing Address - Fax:
Practice Address - Street 1:4111 BROWN BARK CIR
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2053
Practice Address - Country:US
Practice Address - Phone:443-600-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI041591001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist