Provider Demographics
NPI:1497496780
Name:OKA-ZEH, CHU-CHI AMOH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHU-CHI
Middle Name:AMOH
Last Name:OKA-ZEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 DERBY MANOR DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7022
Mailing Address - Country:US
Mailing Address - Phone:443-248-5816
Mailing Address - Fax:
Practice Address - Street 1:4380 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6737
Practice Address - Country:US
Practice Address - Phone:410-664-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist