Provider Demographics
NPI:1578989885
Name:OKPOBIRI, CHIZI (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHIZI
Middle Name:
Last Name:OKPOBIRI
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 1:9111 LAKES AT 610 DR
Mailing Address - Street 2:APT 1313
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2405
Mailing Address - Country:US
Mailing Address - Phone:832-644-1456
Mailing Address - Fax:
Practice Address - Street 1:18648 MCKAY DR
Practice Address - Street 2:SUITE 110
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5723
Practice Address - Country:US
Practice Address - Phone:832-644-1456
Practice Address - Fax:832-777-6347
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist