Provider Demographics
NPI:1154995991
Name:CHUKA-IPERE, CHINENYE ADELINE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHINENYE
Middle Name:ADELINE
Last Name:CHUKA-IPERE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17518 SANDALISLE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2831
Mailing Address - Country:US
Mailing Address - Phone:678-538-8445
Mailing Address - Fax:
Practice Address - Street 1:30417 5TH ST STE C
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-2508
Practice Address - Country:US
Practice Address - Phone:281-346-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist