Provider Demographics
NPI:1790518611
Name:ALOZIE, MODESTUS UCHE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MODESTUS
Middle Name:UCHE
Last Name:ALOZIE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 CHERRY BLOSSOM LN UNIT 203
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-3231
Mailing Address - Country:US
Mailing Address - Phone:346-424-3096
Mailing Address - Fax:
Practice Address - Street 1:189 HICKORY TREE RD STE 120
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-8759
Practice Address - Country:US
Practice Address - Phone:336-764-5310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33301183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist