Provider Demographics
NPI:1225546062
Name:OGUEKWE, STEPHANIE C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:C
Last Name:OGUEKWE
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 1:114 CHURCHILL AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3442
Mailing Address - Country:US
Mailing Address - Phone:732-925-0887
Mailing Address - Fax:
Practice Address - Street 1:883 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4677
Practice Address - Country:US
Practice Address - Phone:732-548-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03887400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist