Donald Uchenna Iriele | Tyler, TX • PECOS Search

Donald Uchenna Iriele

Pharmacist

Pharmacy Service Providers

4922 S Broadway Ave, Tyler, TX 75703-1324

PECOS Enrollment

Based on the most recent information from CMS, provider Donald Uchenna Iriele does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1649875543
Provider Type
Individual
Full Name
Iriele, Donald Uchenna
Title
Dr.
Credential
RPH

Gender
Male
Sole Proprietor
No
Enumeration Date
12/1/2020
Last Updated
12/1/2020

Contact Information

Practice Location

4922 S Broadway Ave, Tyler, TX 75703-1324

Unlisted Fax

Mailing Location

4922 S Broadway Ave, Tyler, TX 75703-1324

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 65750 Texas