Provider Demographics
NPI:1982973061
Name:OKEKE, LOTANNA CHRISTOPHER II (RPH)
Entity Type:Individual
Prefix:
First Name:LOTANNA
Middle Name:CHRISTOPHER
Last Name:OKEKE
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 STILWELL CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6680
Mailing Address - Country:US
Mailing Address - Phone:620-875-9526
Mailing Address - Fax:
Practice Address - Street 1:2229 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-3023
Practice Address - Country:US
Practice Address - Phone:620-223-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist