Healthcare Provider Details

I. General information

NPI: 1699928374
Provider Name (Legal Business Name): IJEOMA C OKAFOR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 SHOEMAKER RD
POTTSTOWN PA
19464
US

IV. Provider business mailing address

1417 BALMORAL RD
COATESVILLE PA
19320-2178
US

V. Phone/Fax

Practice location:
  • Phone: 610-327-1308
  • Fax:
Mailing address:
  • Phone: 215-805-2682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP439585
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03219200
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: