MEDICARE: ORHWERAKPOJEMRE OKOH PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0012684	OR
2	183500000X	Pharmacist	P6519	ID

General Provider Information

NPI Number	:	1902185531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORHWERAKPOJEMRE OKOH PHARMD

Provider Business Mailing Address
First Line	:	2100 LYNNHAVEN PKWY STE 201
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1492
Country	:	US
Telephone Number	:	757-953-6685
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 LYNNHAVEN PKWY STE 201
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-1492
Country	:	US
Telephone Number	:	757-953-6685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2011
Last Update Date	:	04/13/2026

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