Provider Demographics
NPI:1972869485
Name:OKPALEKE, LILLIAN T (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:T
Last Name:OKPALEKE
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 1:11924 SUGARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-6321
Mailing Address - Country:US
Mailing Address - Phone:813-766-9785
Mailing Address - Fax:
Practice Address - Street 1:3202 N HOWARD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1614
Practice Address - Country:US
Practice Address - Phone:813-876-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist