Provider Demographics
NPI:1164187993
Name:OKOYE, EDWARD CHUKWUEMEKA
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:CHUKWUEMEKA
Last Name:OKOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8326 GLENMAR RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6993
Mailing Address - Country:US
Mailing Address - Phone:443-542-7378
Mailing Address - Fax:
Practice Address - Street 1:73 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2607
Practice Address - Country:US
Practice Address - Phone:603-543-0153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-06
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist