Most Relevant Information
Provider Data
| NPI Number: | 1003690975 |
| Provider Name: | THERESA OGECHI NNOLI |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 28RI04321500 |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 08/22/2023 |
Provider Practice Location
2148 MORRIS AVE
UNION
NJ
070836006
Practice Location Phone/Fax
| Phone: | 9086874994 |
| Fax: |
Provider Mailing Location
1788 UNION AVE
UNION
NJ
070835521
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |