Provider Demographics
NPI:1578891610
Name:DIKE, SUNDAY E (RPH)
Entity Type:Individual
Prefix:MR
First Name:SUNDAY
Middle Name:E
Last Name:DIKE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 LOCKWOOD DRIVE
Mailing Address - Street 2:WALGREENS STORE 2686
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020
Mailing Address - Country:US
Mailing Address - Phone:281-648-3388
Mailing Address - Fax:
Practice Address - Street 1:1515 LOCKWOOD DRIVE
Practice Address - Street 2:WALGREENS STORE 2686
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020
Practice Address - Country:US
Practice Address - Phone:713-674-7465
Practice Address - Fax:713-674-1401
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25284183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy