Provider Demographics
NPI:1831488378
Name:OREFUWA, MARY ABIODUN (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ABIODUN
Last Name:OREFUWA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 NORTHHAMPTON WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8345
Mailing Address - Country:US
Mailing Address - Phone:302-328-4173
Mailing Address - Fax:302-328-4219
Practice Address - Street 1:501 E BASIN RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4230
Practice Address - Country:US
Practice Address - Phone:302-328-4173
Practice Address - Fax:302-328-4219
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003857183500000X
PARP443041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist