Provider Demographics
NPI:1952609927
Name:NWOKO, FELIX
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:NWOKO
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:FELIX
Other - Middle Name:
Other - Last Name:NWOKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:16 BONNIE CT APT 1
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-7738
Mailing Address - Country:US
Mailing Address - Phone:302-339-5392
Mailing Address - Fax:
Practice Address - Street 1:115 NE FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1429
Practice Address - Country:US
Practice Address - Phone:302-422-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003635183500000X
MD18604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist