Provider Demographics
NPI:1598215287
Name:UWEH, BEVERLY UCHE
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:UCHE
Last Name:UWEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 DOWNEY GREEN ST
Mailing Address - Street 2:APT 311
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2283
Mailing Address - Country:US
Mailing Address - Phone:909-270-7145
Mailing Address - Fax:
Practice Address - Street 1:12750 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4318
Practice Address - Country:US
Practice Address - Phone:757-833-0339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist