Provider Demographics
NPI:1912278557
Name:OKOYE, IFEOMA F (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:IFEOMA
Middle Name:F
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 1:4810 PORTOBELLO CIR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7372
Mailing Address - Country:US
Mailing Address - Phone:813-651-4102
Mailing Address - Fax:
Practice Address - Street 1:3890 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4800
Practice Address - Country:US
Practice Address - Phone:813-269-2814
Practice Address - Fax:813-265-4317
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 47209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist