Provider Demographics
NPI:1679714497
Name:OHAERI, CHRISTIAN UWABUNKONYE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:UWABUNKONYE
Last Name:OHAERI
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 1:614 FLATBUSH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-4901
Mailing Address - Country:US
Mailing Address - Phone:718-826-6117
Mailing Address - Fax:
Practice Address - Street 1:11 HARVEST DR
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3127
Practice Address - Country:US
Practice Address - Phone:609-721-2194
Practice Address - Fax:609-936-0024
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039041-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY039041-1OtherNEW YORK STATE PHARMACIST REGISTRATION NUMBER