Provider Demographics
NPI:1912181736
Name:CHIMA, INNO OKEZIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:INNO
Middle Name:OKEZIE
Last Name:CHIMA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:INNO
Other - Middle Name:OKEZIE
Other - Last Name:CHIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:18940 TREEBRANCH TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1833
Mailing Address - Country:US
Mailing Address - Phone:240-383-8435
Mailing Address - Fax:
Practice Address - Street 1:18940 TREEBRANCH TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1833
Practice Address - Country:US
Practice Address - Phone:240-383-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist