Provider Demographics
NPI:1598199192
Name:OKARO, OSANEME CHUKA
Entity Type:Individual
Prefix:DR
First Name:OSANEME
Middle Name:CHUKA
Last Name:OKARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5357 EHRLICH RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5505
Mailing Address - Country:US
Mailing Address - Phone:850-273-1344
Mailing Address - Fax:
Practice Address - Street 1:5357 EHRLICH RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5505
Practice Address - Country:US
Practice Address - Phone:813-968-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist