Provider Demographics
NPI:1174836332
Name:O'KEEFE, RAYMOND WILLIAM (RAYMOND O'KEEFE)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:WILLIAM
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:RAYMOND O'KEEFE
Other - Prefix:MR
Other - First Name:RAYMOND
Other - Middle Name:
Other - Last Name:O'KEEFE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RAYMOND O'KEEFE
Mailing Address - Street 1:326 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188
Mailing Address - Country:US
Mailing Address - Phone:781-331-5100
Mailing Address - Fax:781-331-8059
Practice Address - Street 1:326 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-2932
Practice Address - Country:US
Practice Address - Phone:781-331-5100
Practice Address - Fax:781-331-8059
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist