Provider Demographics
NPI:1083476329
Name:OKELU, HILARY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:OKELU
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9621 WALNUT ST APT 6101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-2365
Mailing Address - Country:US
Mailing Address - Phone:281-974-7500
Mailing Address - Fax:
Practice Address - Street 1:2420 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3609
Practice Address - Country:US
Practice Address - Phone:972-780-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist