Provider Demographics
NPI:1699476846
Name:OKOYE-OYIBO, ANULI CHIOMA (RPH)
Entity type:Individual
Prefix:
First Name:ANULI
Middle Name:CHIOMA
Last Name:OKOYE-OYIBO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 RUTLAND RD # 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1703
Mailing Address - Country:US
Mailing Address - Phone:347-683-0716
Mailing Address - Fax:
Practice Address - Street 1:185 GREENWICH ST STE LI207
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2383
Practice Address - Country:US
Practice Address - Phone:646-822-4717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20-099933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist