Provider Demographics
NPI:1427691997
Name:UWANDU, JESSICA CHIOMA JEREMIAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA CHIOMA
Middle Name:JEREMIAH
Last Name:UWANDU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHIOMA
Other - Middle Name:
Other - Last Name:UWANDU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8319 TELEGRAPH RD APT 113
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1362
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8319 TELEGRAPH RD APT 113
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1362
Practice Address - Country:US
Practice Address - Phone:855-326-6344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist