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Individual

DR. OKWUDILI MARTIN OKEKEARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4016 W 95TH ST, PRAIRIE VILLAGE, KS 66207-2702
(913) 307-3057
Mailing address
4016 W 95TH ST, PRAIRIE VILLAGE, KS 66207-2702
(913) 307-3057

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-104406
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-104406
KS BOP
KS
Enumeration date
11/01/2022
Last updated
11/01/2022
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