Provider Demographics
NPI:1750557468
Name:OKAFOR, BENJAMIN C (BPHARM)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:C
Last Name:OKAFOR
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04443
Mailing Address - Country:US
Mailing Address - Phone:207-876-2788
Mailing Address - Fax:
Practice Address - Street 1:3 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:ME
Practice Address - Zip Code:04443
Practice Address - Country:US
Practice Address - Phone:207-876-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist