Provider Demographics
NPI:1881233518
Name:NWOKEJI, NNAMDI OBIAJULU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NNAMDI
Middle Name:OBIAJULU
Last Name:NWOKEJI
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 1:6562 HAVERFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-3739
Mailing Address - Country:US
Mailing Address - Phone:617-308-0373
Mailing Address - Fax:
Practice Address - Street 1:6562 HAVERFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-3739
Practice Address - Country:US
Practice Address - Phone:617-308-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-28
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP454057OtherPENNSYLVANIA BOARD OF PHARMACY