Provider Demographics
NPI:1164750055
Name:MADUKA OKAFOR, PETE IGBAMBOAMAKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PETE
Middle Name:IGBAMBOAMAKA
Last Name:MADUKA OKAFOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 BRANCH VIEW LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2334
Mailing Address - Country:US
Mailing Address - Phone:281-208-9224
Mailing Address - Fax:
Practice Address - Street 1:10800 S POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3102
Practice Address - Country:US
Practice Address - Phone:713-723-4774
Practice Address - Fax:713-721-1360
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261261835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy