Provider Demographics
NPI:1952900078
Name:NUDO PHARMACY LLC
Entity Type:Organization
Organization Name:NUDO PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-5472
Mailing Address - Street 1:7806 DEEP GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1837
Mailing Address - Country:US
Mailing Address - Phone:713-517-5472
Mailing Address - Fax:
Practice Address - Street 1:104 INDUSTRIAL BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3174
Practice Address - Country:US
Practice Address - Phone:713-517-5472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy