Provider Demographics
NPI:1114257565
Name:OKOYE, ISAAC OKECHUKWU (RPH)
Entity Type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:OKECHUKWU
Last Name:OKOYE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19450 LORAIN RD
Mailing Address - Street 2:APT # 210W
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1975
Mailing Address - Country:US
Mailing Address - Phone:440-356-1073
Mailing Address - Fax:
Practice Address - Street 1:PINON ROUTE 4
Practice Address - Street 2:AT PINON PHARMACY
Practice Address - City:PINON
Practice Address - State:AZ
Practice Address - Zip Code:85610
Practice Address - Country:US
Practice Address - Phone:928-725-9500
Practice Address - Fax:928-725-9542
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03316871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist