MEDICARE: IJEOMA OKPARA PHARM D

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	23916	NV

General Provider Information

NPI Number	:	1326540659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IJEOMA OKPARA PHARM D

Provider Business Mailing Address
First Line	:	1455 E TROPICANA AVE STE 175A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6507
Country	:	US
Telephone Number	:	702-893-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2465 REYNOLDS AVE STE 204
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7296
Country	:	US
Telephone Number	:	702-372-8344
Fax Number	:	702-410-7842

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

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	10/03/2023

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Directions to “ IJEOMA OKPARA PHARM D” Practice Location

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