Provider Demographics
NPI:1417133596
Name:OJEVWE, CHARLES O (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:O
Last Name:OJEVWE
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 1:603 HANSON CT
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-3026
Mailing Address - Country:US
Mailing Address - Phone:302-464-2673
Mailing Address - Fax:
Practice Address - Street 1:3129 KINGSLEY DR STE 2030
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8511
Practice Address - Country:US
Practice Address - Phone:281-617-7438
Practice Address - Fax:281-617-1867
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist