Provider Demographics
NPI:1699435776
Name:OKUMU, LILIAN AUMA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:AUMA
Last Name:OKUMU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2150 HUGHES RD UNIT 1401
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6441
Mailing Address - Country:US
Mailing Address - Phone:334-421-0061
Mailing Address - Fax:
Practice Address - Street 1:7090 HIGHWAY 72 W
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1728
Practice Address - Country:US
Practice Address - Phone:256-726-0610
Practice Address - Fax:256-726-0615
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL221831835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist