Provider Demographics
NPI:1336451053
Name:OKWUJE, NENE P (RPH)
Entity type:Individual
Prefix:MS
First Name:NENE
Middle Name:P
Last Name:OKWUJE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 W 218TH ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-7800
Mailing Address - Country:US
Mailing Address - Phone:310-414-7539
Mailing Address - Fax:
Practice Address - Street 1:11340 CRENSHAW BLVD
Practice Address - Street 2:RITE AID
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303
Practice Address - Country:US
Practice Address - Phone:323-757-2811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist