Individual
NWAMAKA NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 782-8149
Mailing address
7220 103RD CT N, BROOKLYN PARK, MN 55445-2476
(817) 714-1975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122523
MN BOARD OF PHARMACY
MN
Enumeration date
09/23/2020
Last updated
09/26/2020
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