Individual
IVY NWOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-7462
Mailing address
1014 GRAYS LAND CT APT 824, KERNERSVILLE, NC 27284-0056
(832) 623-1514
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
29856
NC
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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