Provider Demographics
NPI:1780912980
Name:ANYADIKE, UJU NCHEDO
Entity type:Individual
Prefix:MRS
First Name:UJU
Middle Name:NCHEDO
Last Name:ANYADIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 W HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1601
Mailing Address - Country:US
Mailing Address - Phone:832-778-8106
Mailing Address - Fax:
Practice Address - Street 1:2605 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1601
Practice Address - Country:US
Practice Address - Phone:832-778-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-27
Last Update Date:2009-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37537183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist