Provider Demographics
NPI:1003114844
Name:KOKUKOKOR, EMEFA A (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMEFA
Middle Name:A
Last Name:KOKUKOKOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 TAYLOR RD
Mailing Address - Street 2:STE 118
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3300
Mailing Address - Country:US
Mailing Address - Phone:757-484-1095
Mailing Address - Fax:757-686-3274
Practice Address - Street 1:3325 TAYLOR RD
Practice Address - Street 2:STE 118
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3300
Practice Address - Country:US
Practice Address - Phone:757-484-1095
Practice Address - Fax:757-686-3274
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist