Provider Demographics
NPI:1699455030
Name:EKECHUKWU, CECIL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CECIL
Middle Name:
Last Name:EKECHUKWU
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 1:2013 SHREYA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4662
Mailing Address - Country:US
Mailing Address - Phone:216-543-2921
Mailing Address - Fax:
Practice Address - Street 1:1550 S VALLEY DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3110
Practice Address - Country:US
Practice Address - Phone:575-523-6844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00009924183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist