Provider Demographics
NPI:1659747673
Name:OKOYE, ADAEZE O (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADAEZE
Middle Name:O
Last Name:OKOYE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 GATEWAY CENTRE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6228
Mailing Address - Country:US
Mailing Address - Phone:919-460-3967
Mailing Address - Fax:
Practice Address - Street 1:3601 ROGERS RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7634
Practice Address - Country:US
Practice Address - Phone:919-453-0932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist