Provider Demographics
NPI:1265700280
Name:ONYEMETU, EMEKA M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMEKA
Middle Name:M
Last Name:ONYEMETU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 WHITMIRE BLVD APT 18H
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-3532
Mailing Address - Country:US
Mailing Address - Phone:432-312-6478
Mailing Address - Fax:
Practice Address - Street 1:215 ANDREWS HWY
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6331
Practice Address - Country:US
Practice Address - Phone:432-682-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist