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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IKE C EGBUCHUNAM

Deactivated Sole Proprietor

IKE C EGBUCHUNAM is a Pharmacy healthcare provider located in DALLAS, Texas. NPI 1619632841 is deactivated in the NPPES registry. Verify at CMS.

Pharmacy · DALLAS, TX

This NPI has been deactivated. The record was deactivated on March 23, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1619632841
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2021 (0.38630136986301 yrs)
Last Updated
Jan 11, 2023
Deactivated
Mar 23, 2022
Sole Proprietor
Yes

Practice Information

Address
14211 COIT RD STE 1
DALLAS, TX, 752542862
Browse TX providers · Browse ZIP 75254
Phone
9728072527
Primary Specialty
Pharmacy
333600000X

Other Pharmacy Providers in DALLAS, TX

Name Credential NPI
SENAHID SELIMOVIC 1093535676
FRANK AARON BRUNSON PHARMD 1457204240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.