Healthcare Provider Details

I. General information

NPI: 1386893980
Provider Name (Legal Business Name): JOY OKOCHA PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 ABRAMS RD
DALLAS TX
75231-7115
US

IV. Provider business mailing address

3801 HICKORY BEND TRL
MCKINNEY TX
75071-2777
US

V. Phone/Fax

Practice location:
  • Phone: 214-341-4590
  • Fax:
Mailing address:
  • Phone: 972-505-3726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17753
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48164
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: