Provider Demographics
NPI:1588265987
Name:AKPIRI, OSAKPOLO TERRENCE (PHARMD)
Entity type:Individual
Prefix:
First Name:OSAKPOLO
Middle Name:TERRENCE
Last Name:AKPIRI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18404 CAMBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3219
Mailing Address - Country:US
Mailing Address - Phone:580-574-1304
Mailing Address - Fax:
Practice Address - Street 1:1200 E 2ND ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5317
Practice Address - Country:US
Practice Address - Phone:405-844-5099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist