Provider Demographics
NPI:1679132666
Name:AMUZIE, UGOCHI VIVIAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:UGOCHI
Middle Name:VIVIAN
Last Name:AMUZIE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:UGOCHI
Other - Middle Name:VIVIAN
Other - Last Name:NNAJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:304 ARROWHEAD WAY
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-6650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 EL CERRITO PLZ
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-4015
Practice Address - Country:US
Practice Address - Phone:510-524-8280
Practice Address - Fax:510-524-8324
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist