Provider Demographics
NPI:1679825434
Name:OKEEFE, EVA M (RPH)
Entity type:Individual
Prefix:MISS
First Name:EVA
Middle Name:M
Last Name:OKEEFE
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 1:5 ROCKY PT
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1346
Mailing Address - Country:US
Mailing Address - Phone:978-318-0080
Mailing Address - Fax:
Practice Address - Street 1:5 ROCKY PT
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1346
Practice Address - Country:US
Practice Address - Phone:978-318-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist