Provider Demographics
NPI:1740002476
Name:ANYAKEE, UGONNA BRIAN (PHARMACIST)
Entity type:Individual
Prefix:
First Name:UGONNA
Middle Name:BRIAN
Last Name:ANYAKEE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 166062
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75016-6062
Mailing Address - Country:US
Mailing Address - Phone:972-254-0305
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 166062
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75016-6062
Practice Address - Country:US
Practice Address - Phone:972-254-0305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist