Provider Demographics
NPI:1639329618
Name:OKOJIE, IGUADE GODWIN (PHARMD (PHARMACIST))
Entity Type:Individual
Prefix:DR
First Name:IGUADE
Middle Name:GODWIN
Last Name:OKOJIE
Suffix:
Gender:M
Credentials:PHARMD (PHARMACIST)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 S GREENE ST
Mailing Address - Street 2:N1W100 (PHARMACY)
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:410-328-5222
Mailing Address - Fax:410-328-3122
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:N1W100 (PHARMACY)
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-5222
Practice Address - Fax:410-328-3122
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist