Provider Demographics
NPI:1669064184
Name:UBOCHI, IFEANYICHUKWU M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IFEANYICHUKWU
Middle Name:M
Last Name:UBOCHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 PLUMGRASS CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5720
Mailing Address - Country:US
Mailing Address - Phone:407-924-5080
Mailing Address - Fax:
Practice Address - Street 1:1000 EXECUTIVE DR STE 2
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8140
Practice Address - Country:US
Practice Address - Phone:407-924-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist