Provider Demographics
NPI:1255929949
Name:ONWEZI, CHIZOBA
Entity type:Individual
Prefix:
First Name:CHIZOBA
Middle Name:
Last Name:ONWEZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 HOLLINS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-3416
Mailing Address - Country:US
Mailing Address - Phone:410-242-1441
Mailing Address - Fax:
Practice Address - Street 1:1134 RING BILL LOOP
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7166
Practice Address - Country:US
Practice Address - Phone:443-825-7346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist