Individual
OKECHUKWU DIBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2636 RYAN ST, LAKE CHARLES, LA 70601-7326
(337) 433-4178
Mailing address
1102 DEVONSHIRE DR, SLIDELL, LA 70461-4412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022776
LA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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