Provider Demographics
NPI:1720703457
Name:OKONSKI, AIMEE R (PHARMD)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:R
Last Name:OKONSKI
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 1:437 W 6TH ST APT 530
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-1666
Mailing Address - Country:US
Mailing Address - Phone:518-429-1187
Mailing Address - Fax:
Practice Address - Street 1:1137 STATE ROUTE 131
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2715
Practice Address - Country:US
Practice Address - Phone:513-831-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist