Provider Demographics
NPI:1700473667
Name:MGBENKA, ONYINYECHI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ONYINYECHI
Middle Name:
Last Name:MGBENKA
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 1:13105 PINE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4745
Mailing Address - Country:US
Mailing Address - Phone:240-883-2292
Mailing Address - Fax:
Practice Address - Street 1:5405 LYNX LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2374
Practice Address - Country:US
Practice Address - Phone:410-740-7273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist