Provider Demographics
NPI:1598080590
Name:OFOH, ELSIE LULU (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:LULU
Last Name:OFOH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6401 NE LOOP 820
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6041
Mailing Address - Country:US
Mailing Address - Phone:817-498-4411
Mailing Address - Fax:817-498-7146
Practice Address - Street 1:6401 NE LOOP 820
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6041
Practice Address - Country:US
Practice Address - Phone:817-498-4411
Practice Address - Fax:817-498-7146
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist