MEDICARE: CHIUGO OKEKE

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	1835X0200X	Oncology Pharmacist	RPH86025	CA

General Provider Information

NPI Number	:	1669106597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIUGO OKEKE

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	LEBANON
State	:	NH
Zip	:	03756-1000
Country	:	US
Telephone Number	:	603-653-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	LEBANON
State	:	NH
Zip	:	03756-1000
Country	:	US
Telephone Number	:	603-653-9500
Fax Number	:

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

Provider Enumeration Date	:	07/15/2022
Last Update Date	:	10/17/2022

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Directions to “ CHIUGO OKEKE ” Practice Location

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