Provider Demographics
NPI:1790368934
Name:SOPURE PHARMACY LLC
Entity Type:Organization
Organization Name:SOPURE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSANEME
Authorized Official - Middle Name:CHUKA
Authorized Official - Last Name:OKARO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:850-273-1344
Mailing Address - Street 1:5101 E BUSCH BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5380
Mailing Address - Country:US
Mailing Address - Phone:813-820-0570
Mailing Address - Fax:813-756-2151
Practice Address - Street 1:5101 E BUSCH BLVD STE 9
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-5380
Practice Address - Country:US
Practice Address - Phone:813-820-0570
Practice Address - Fax:813-756-2151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy