Healthcare Provider Details

I. General information

NPI: 1376824821
Provider Name (Legal Business Name): MAY C OKOYE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 LAWRENCEVILLE HWY
LAWRENCEVILLE GA
30044-4601
US

IV. Provider business mailing address

2500 OLD NORCROSS RD
LAWRENCEVILLE GA
30044-2100
US

V. Phone/Fax

Practice location:
  • Phone: 770-962-4946
  • Fax: 770-962-0823
Mailing address:
  • Phone: 770-962-4946
  • Fax: 770-962-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH022739
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: