Provider Demographics
NPI:1962088948
Name:ANOSIKE, AUGUSTA ULOMA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:AUGUSTA
Middle Name:ULOMA
Last Name:ANOSIKE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3215 ORGANIC RISE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2750
Mailing Address - Country:US
Mailing Address - Phone:713-402-8158
Mailing Address - Fax:
Practice Address - Street 1:3217 AVENUE F
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414
Practice Address - Country:US
Practice Address - Phone:979-244-4641
Practice Address - Fax:979-244-4787
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty