MEDICARE: LOTANNA CHRISTOPHER OKEKE II RPH

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	1-13896	KS

General Provider Information

NPI Number	:	1982973061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOTANNA CHRISTOPHER OKEKE II RPH

Provider Business Mailing Address
First Line	:	2606 STILWELL CT
Second Line	:
City	:	PITTSBURG
State	:	KS
Zip	:	66762-6680
Country	:	US
Telephone Number	:	620-875-9526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2229 S MAIN ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-3023
Country	:	US
Telephone Number	:	620-223-2402
Fax Number	:

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

Provider Enumeration Date	:	12/20/2011
Last Update Date	:	12/20/2011

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