Provider Demographics
NPI:1619377306
Name:OKAFOR, ISIUWA AMEZE, UHELUYI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ISIUWA
Middle Name:AMEZE, UHELUYI
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 KITTY HAWK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-8441
Mailing Address - Country:US
Mailing Address - Phone:937-626-9700
Mailing Address - Fax:937-885-1944
Practice Address - Street 1:140 KITTY HAWK DR
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-8441
Practice Address - Country:US
Practice Address - Phone:937-626-9700
Practice Address - Fax:937-885-1944
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-16765183500000X
FLPS26446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist