Provider Demographics
NPI:1871266866
Name:O'KEEFE, COURTNEY (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8733 ARBORWAY CT APT 211
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4906
Mailing Address - Country:US
Mailing Address - Phone:219-916-1473
Mailing Address - Fax:
Practice Address - Street 1:8733 ARBORWAY CT APT 211
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4906
Practice Address - Country:US
Practice Address - Phone:219-916-1473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029338A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist