Okafor, Theodora A

Okafor, Theodora A is an sole proprietor health care provider with primary practice located at 5365 Walnut Ave Ste D , Chino CA 91710-2622. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Okafor, Theodora A can be contacted via phone (909) 591-6038.

Contact Information

Primary practice address
5365 Walnut Ave Ste D Chino CA 91710-2622
Phone: (909) 591-6038
Fax: (909) 591-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 38091 California
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 38091 California

Profile Details

NPI number 1366714149
LBN Legal business name Okafor, Theodora A
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366714149 NPPES
California MEDICAID PHA389360

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