Provider Demographics
NPI:1447853783
Name:ANUNNE, NONYEREM (PHARMD)
Entity type:Individual
Prefix:
First Name:NONYEREM
Middle Name:
Last Name:ANUNNE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16414 PADEMELON DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7626
Mailing Address - Country:US
Mailing Address - Phone:832-876-6918
Mailing Address - Fax:
Practice Address - Street 1:1710 N RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-2713
Practice Address - Country:US
Practice Address - Phone:979-532-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist