Provider Demographics
NPI:1033719869
Name:OKEGBU, FRANCIS IZUCHUKWU (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:IZUCHUKWU
Last Name:OKEGBU
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 1:203 US LOOP, HWY 290 E
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833
Mailing Address - Country:US
Mailing Address - Phone:979-830-1023
Mailing Address - Fax:979-830-8359
Practice Address - Street 1:203 US LOOP, HWY 290 E
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833
Practice Address - Country:US
Practice Address - Phone:979-830-1023
Practice Address - Fax:979-830-8359
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist