Provider Demographics
NPI:1497025944
Name:EKEE, EMMANUEL O (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:O
Last Name:EKEE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 LAKE POINTE CT APT 204
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4706
Mailing Address - Country:US
Mailing Address - Phone:240-280-6903
Mailing Address - Fax:
Practice Address - Street 1:5741 SILVER HILL RD
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-1102
Practice Address - Country:US
Practice Address - Phone:301-736-0904
Practice Address - Fax:301-736-4828
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist