Provider Demographics
NPI:1023717170
Name:SOLU, NNEAMAKA ADAOBI
Entity type:Individual
Prefix:DR
First Name:NNEAMAKA
Middle Name:ADAOBI
Last Name:SOLU
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:NNEAMAKA
Other - Middle Name:ADAOBI
Other - Last Name:NWANKWO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:909 CREPE MYRTLE LN
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4699
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 CREPE MYRTLE LN
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4699
Practice Address - Country:US
Practice Address - Phone:786-436-7433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50831183500000X
TX55594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist