Individual
MR. EDWARD O OKEBIORUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3204 KENSINGTON AVE, PHILADELPHIA, PA 19134-1918
(215) 427-1603
Mailing address
3204 KENSINGTON AVE, PHILADELPHIA, PA 19134-1918
(215) 427-1603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02694100
NJ
183500000X
Pharmacist
Primary
RP446578
PA
Other
Enumeration date
09/20/2016
Last updated
05/11/2017
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