Provider Demographics
NPI:1386720084
Name:NWAOKELEMEH, CHINONYE U (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHINONYE
Middle Name:U
Last Name:NWAOKELEMEH
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 1:525 W WESTCHESTER PKWY
Mailing Address - Street 2:#2221
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-2824
Mailing Address - Country:US
Mailing Address - Phone:850-212-1624
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:(119)
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1943
Practice Address - Fax:214-462-4884
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41445183500000X
TX481521835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist