Provider Demographics
NPI:1700338605
Name:AZIKIWE, UCHECHUKWU NWAMAKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:UCHECHUKWU
Middle Name:NWAMAKA
Last Name:AZIKIWE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:UCHE
Other - Middle Name:
Other - Last Name:AZIKIWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11220 CANYON RD E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4354
Mailing Address - Country:US
Mailing Address - Phone:253-537-3017
Mailing Address - Fax:
Practice Address - Street 1:11220 CANYON RD E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4354
Practice Address - Country:US
Practice Address - Phone:253-537-3017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60654698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist