Provider Demographics
NPI:1447563887
Name:IBE, CHIKA U (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHIKA
Middle Name:U
Last Name:IBE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 E FOWLER AVE STE J
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1705
Mailing Address - Country:US
Mailing Address - Phone:813-368-1413
Mailing Address - Fax:813-898-2073
Practice Address - Street 1:6914 E FOWLER AVE STE J
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1705
Practice Address - Country:US
Practice Address - Phone:813-644-6131
Practice Address - Fax:813-898-2073
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42398183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist