Provider Demographics
NPI:1750413324
Name:EKWUNAZU, UCHENNA P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:UCHENNA
Middle Name:P
Last Name:EKWUNAZU
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 1:8 DUNHAVEN PL APT 1D
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-7546
Mailing Address - Country:US
Mailing Address - Phone:410-882-1015
Mailing Address - Fax:
Practice Address - Street 1:8 DUNHAVEN PL APT 1D
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-7546
Practice Address - Country:US
Practice Address - Phone:410-882-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist