Healthcare Provider Details

I. General information

NPI: 1275057796
Provider Name (Legal Business Name): ESTHER C OKORO PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NEVIN AVE
RICHMOND CA
94801-3143
US

IV. Provider business mailing address

2015 VISTA DR
LEWISVILLE TX
75067-7474
US

V. Phone/Fax

Practice location:
  • Phone: 510-307-1683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number60059
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: