Provider Demographics
NPI:1881295772
Name:ARINZE, EJIKE ONYEKACHI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:EJIKE
Middle Name:ONYEKACHI
Last Name:ARINZE
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 1:930 N WALNUT CREEK DR STE 800
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8021
Mailing Address - Country:US
Mailing Address - Phone:817-473-3014
Mailing Address - Fax:817-473-3419
Practice Address - Street 1:930 N WALNUT CREEK DR STE 800
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8021
Practice Address - Country:US
Practice Address - Phone:817-473-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist