Provider Demographics
NPI:1063188100
Name:NWOSU, CHUKWUEMEKA VICTOR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:VICTOR
Last Name:NWOSU
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 1:1413 S MAIN CHAPEL WAY
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1843
Mailing Address - Country:US
Mailing Address - Phone:443-332-6245
Mailing Address - Fax:443-332-6198
Practice Address - Street 1:1413 S MAIN CHAPEL WAY
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1843
Practice Address - Country:US
Practice Address - Phone:443-332-6245
Practice Address - Fax:443-332-6198
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist