Provider Demographics
NPI:1316577695
Name:OKAFOR, OSITA STEPHEN JR (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:OSITA
Middle Name:STEPHEN
Last Name:OKAFOR
Suffix:JR
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8440 N SAM HOUSTON PKWY E APT 832
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-2971
Mailing Address - Country:US
Mailing Address - Phone:972-358-5106
Mailing Address - Fax:
Practice Address - Street 1:8440 N SAM HOUSTON PKWY E APT 832
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-2971
Practice Address - Country:US
Practice Address - Phone:972-358-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-25
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy