Provider Demographics
NPI:1225631997
Name:OKOLI, UGOCHINYERE A (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:UGOCHINYERE
Middle Name:A
Last Name:OKOLI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:UGO
Other - Middle Name:A
Other - Last Name:OKOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:1406 E MILAM ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2500
Mailing Address - Country:US
Mailing Address - Phone:254-562-5551
Mailing Address - Fax:
Practice Address - Street 1:1406 E MILAM ST
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-2500
Practice Address - Country:US
Practice Address - Phone:254-562-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist