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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366714149 | NPPES |
| California | MEDICAID | PHA389360 |
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