Provider Demographics
NPI:1730773094
Name:ONYILOKWU, STEVE O
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:O
Last Name:ONYILOKWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 DEANWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-6004
Mailing Address - Country:US
Mailing Address - Phone:443-621-3560
Mailing Address - Fax:
Practice Address - Street 1:15 TEXAS STATION CT
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-8263
Practice Address - Country:US
Practice Address - Phone:410-628-7264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist