Most Relevant Information
Provider Data
| NPI Number: | 1003064866 |
| Provider Name: | PROTUS UKEOMAH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PHA3147 |
Most Important Dates
| Enumeration Date: | 09/05/2008 |
| Last Updated: | 09/05/2008 |
Provider Practice Location
2250 HICKORY RD
SUITE 240
PLYMOUTH MEETING
PA
194621047
Practice Location Phone/Fax
| Phone: | 6108341122 |
| Fax: |
Provider Mailing Location
13721 PINE NEEDLE CT
UPPER MARLBORO
MD
207744218
Provider Mailing Phone/Fax
| Phone: | 2027015848 |
| Fax: |