Individual
CHINONSO EZENDOKWERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 N BROAD ST, PHILADELPHIA, PA 19126-3223
(215) 924-1633
Mailing address
6601 N BROAD ST, PHILADELPHIA, PA 19126-3223
(215) 924-1633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP449183
PA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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