Provider Demographics
NPI:1356675441
Name:OKEREKE, OBISIKE THEODORE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:OBISIKE
Middle Name:THEODORE
Last Name:OKEREKE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13203 DUSTY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7425
Mailing Address - Country:US
Mailing Address - Phone:956-639-2083
Mailing Address - Fax:
Practice Address - Street 1:1000 WILSON DR
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2116
Practice Address - Country:US
Practice Address - Phone:281-239-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX429881835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric