Provider Demographics
NPI:1629391677
Name:OKORO, MAUREEN C (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:C
Last Name:OKORO
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 1:5161 CALIFORNIA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92617-8002
Mailing Address - Country:US
Mailing Address - Phone:888-843-5779
Mailing Address - Fax:
Practice Address - Street 1:5161 CALIFORNIA AVE STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92617-8002
Practice Address - Country:US
Practice Address - Phone:888-843-5779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02925200183500000X
NY049547183500000X
TX52597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist