Provider Demographics
NPI:1528456514
Name:UDOJI, FELICIA C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:C
Last Name:UDOJI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HISTORIC 66 W
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-2310
Mailing Address - Country:US
Mailing Address - Phone:877-928-9748
Mailing Address - Fax:
Practice Address - Street 1:1100 HISTORIC 66 W
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65583-2310
Practice Address - Country:US
Practice Address - Phone:877-928-9748
Practice Address - Fax:877-948-7425
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP11088183500000X
VT033.0135160183500000X
MI5302415721183500000X
NV20333183500000X
OH03443647183500000X
KS1-172471835G0303X, 1835C0205X, 1835P0018X, 1835P1200X, 1835X0200X, 1835P2201X
MO20160021181835N0905X
TN38709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835C0205XPharmacy Service ProvidersPharmacistCritical Care
No1835N0905XPharmacy Service ProvidersPharmacistNuclear
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835X0200XPharmacy Service ProvidersPharmacistOncology
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care