Individual
CHITOO I OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.PHARM
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4531
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555
(951) 486-4531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHE435930
—
CA
Enumeration date
05/10/2010
Last updated
05/10/2010
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