Provider Demographics
NPI:1427762178
Name:AKUNNE, FESTUS OGOCHUKWU (RPH)
Entity type:Individual
Prefix:MR
First Name:FESTUS
Middle Name:OGOCHUKWU
Last Name:AKUNNE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SHIVE PLACE
Mailing Address - Street 2:70 SHIVE PLACE
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1148
Mailing Address - Country:US
Mailing Address - Phone:732-690-2342
Mailing Address - Fax:
Practice Address - Street 1:70 SHIVE PLACE
Practice Address - Street 2:70 SHIVE PLACE
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1148
Practice Address - Country:US
Practice Address - Phone:732-690-2342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02224100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist