Provider Demographics
NPI:1548866338
Name:OKOYA-WILCOX, EBITIMI FLORENCE (RPH)
Entity type:Individual
Prefix:MRS
First Name:EBITIMI
Middle Name:FLORENCE
Last Name:OKOYA-WILCOX
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 1:3 KING RICHARD CT
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6151
Mailing Address - Country:US
Mailing Address - Phone:908-612-6129
Mailing Address - Fax:
Practice Address - Street 1:2239 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2469
Practice Address - Country:US
Practice Address - Phone:732-727-3535
Practice Address - Fax:732-727-3031
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01795000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist