Healthcare Provider Details

I. General information

NPI: 1972441004
Provider Name (Legal Business Name): ALOYSIUS OKON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 EMMORTON RD
ABINGDON MD
21009-2023
US

IV. Provider business mailing address

113 SPRY ISLAND RD
JOPPA MD
21085-5440
US

V. Phone/Fax

Practice location:
  • Phone: 410-569-9870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30815
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: