Provider Demographics
NPI:1720650187
Name:IGWE, PRINCESS (PHARMD)
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:
Last Name:IGWE
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 1:330 4TH ST APT 420
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5832
Mailing Address - Country:US
Mailing Address - Phone:713-320-6551
Mailing Address - Fax:
Practice Address - Street 1:330 4TH ST APT 420
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5832
Practice Address - Country:US
Practice Address - Phone:713-320-6551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61091736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist